Please complete the required paperwork prior to your appointment.

You can either email it, fax it, mail it in or drop it off at the office!

Email: info@yourbalancedwellbeing.com

Fax: (319) 398-7041 (call before faxing)

Address: Body/Mind Balanced Wellbeing, 4316 Center Point Road, NE, Cedar Rapids, Iowa 52402

QNRT Paperwork
PEMF Paperwork
CHIROPRACTIC Paperwork

© 2019 Body/Mind Balanced Wellbeing

Michael Goad, DC, CCEP, Board Certified Master QNRT

4316 Center Point Road NE
Cedar Rapids, IA 52402