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HOME
ABOUT US
About Our Practice
Dr. Daniel Miller
Dr. Dustin Yoder
Tina Hermes, NP
Megan Carpenter, PTA
Massage Therapists
Our Team
PATIENTS
What To Expect
New Patient Forms
Insurance / Payment
Patient Testimonials
WHAT WE TREAT
Joint Pain
Back Pain
Headaches / Migraines
Obesity / Weight Gain
Neck Pain
Chronic Health Concerns
Children
Pregnancy Pain
Auto Injury
Sciatica Treatment
SERVICES
Joint Regeneration Therapy
Weight Loss Treatment
Trigger Points
Medical Massage Therapy
Computerized Adjusting
Manual Adjustments
Spinal Decompression
Graston / ASTM / Scraping
IV Hydration
Science Based Nutrition Testing
CONTACT
BLOG
SHOP SUPPLEMENTS
Patient Satisfaction Survey
Client Satisfaction Survey Form (#11)
Patient Satisfaction Survey
Are there any services you would like to see us offer? If so, list them here!
What services do you receive or have you received at our office? Select all that apply.
Regenerative Medicine
Chiropractic Care
Massage Therapy
Trigger Point Injections
Physical Rehabilitation
Weight Loss Treatment
IV Hydration
Decompression/Traction
Nutrition Testing
Do you have a good understanding of our various services?
Yes
No
Maybe
Are there any services you would like a better understanding of? If so, list them here!
Do you feel that our services are good value for the money?
Definitely
Yes
Not Sure
No
On a scale of 1-5, how likely are you to refer people to our office?
1- Not Likely
2- Probably Not
3- Maybe
4- Likely
5- Very Likely
If we hosted free seminars on our various services, would you be interested in attending?
Yes
No
Would you be interested in packages or memberships for chiropractic or massage?
Yes
No
How can we improve? We want to hear any constructive criticism you may have. We want to continually improve! Please do not include any Protected Health Information (PHI) in this section.
What are we doing right? Please do not include any Protected Health Information (PHI) in this section.
Anything else? If you would like us to follow up with you on any of your questions or responses, put your name and contact information here. Otherwise, you can feel free to stay anonymous!
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10528 Coldwater Rd
Fort Wayne, IN 46845
p: (260) 338-1700
f: (260) 338-1781
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OFFICE HOURS:
Monday 9am – 5:30pm
Tuesday 9am – 5:30pm
Wednesday 9am – 5:30pm
Thursday 9am – 5:30pm
Friday 9am – 4:30pm
Saturday Closed
Sunday Closed
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