WHC Testimonial - Pediatric
Many children have had fantastic changes in their life because of Chiropractic care. Often the first thought about Chiropractic as a possible solution to their problems comes as a result of their parent(s) reading or hearing about another child’s experiences under our care.

We, and many families in the future, would be very grateful if you would take the time to record the changes that you have noticed in your child’s health and life since commencing Chiropractic care with us.

Please complete the outline below.

Child's Name:
Your answer
Child's Age:
Your answer
Describe your child's health before beginning Chiropractic care.
Your answer
How long had your child been like that?
Your answer
What could your child not do because of this?
Your answer
What types of health services had you sought before seeing us?
Your answer
What have been your impressions of the care we have provided to your family?
Your answer
How is your child's and family's life now? What has changed?
Your answer
What has being healthier given to your child in their daily activities?
Your answer
Do we have your permission to put this testimonial in "Our Practice Members Speak - About Their Kids" book?
Parent/Guardian name
Your answer
Date
MM
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DD
/
YYYY
Submit
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