As a thank you for your service to our country, Corrective Chiropractic will be offering complimentary chiropractic services to 1 active service member or veteran per clinic.
Please fill out the questionnaire to apply and thank you for your service.
Date of birth *
Choose which Corrective Chiropractic branch you prefer to be treated
Are you an Active Service Member or Veteran? *
Which branch did you serve? *
When did you serve? *
Why would you like to receive chiropractic care? *
Have you been under chiropractic care in the past? *