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Name of the Insured _____________________________________________

I understand and agree that health/accident insurance policies are an arrangement between an insurance carrier and myself. I understand and agree that all services rendered to me and charged are my personal responsibility for timely payment. I understand that if I suspend or terminate my care/treatment, any fees for professional services rendered to me will be immediately due and payable.

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Office Hours

Monday8:30-11:30 AM2:00-6:00 PM
Tuesday2:00 PM6:00 PM
Wednesday8:30-11:30 AM2:00-6:00 PM
Thursday2:00 PM6:00 PM
Friday8:30-11:30 AM2:00-6:00 PM
Saturday9:00 AM10:00 AM
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:30-11:30 AM 2:00 PM 8:30-11:30 AM 2:00 PM 8:30-11:30 AM 9:00 AM Closed
2:00-6:00 PM 6:00 PM 2:00-6:00 PM 6:00 PM 2:00-6:00 PM 10:00 AM Closed


Chiropractic care is essential to overall good health. I have been a patient at Petersen Chiropractic for over 10 years now and I highly recommend Dr Petersen.

Lisa Hornyak, NMHS English Instructor
Belfair, WA

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