office (603 356-2471
fax (603) 356-8759
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Leo M. Kenney,
DC, FACO
North Conway Chiropractic Center
3316 White Mountain Highway
P.O. Box 3
North Conway, NH
03860-0003
Ph1: 603-356-2471
Fax: 603-356-8759
drleokenney@gmail.com
Credit
Cards
Insurance
Most Major Medical Insurance
Workers' Compensation
Personal Injury
Downloads & Forms, Dr. Leo Kenney
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Download any of our patient forms and informational
brochures |
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Dr. Leo Kenney Office Brochure |
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Gaitscan Brochure - Information about the Gaitscan procedure and Custom Corrective Orthotics |
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About Dr. Kenney - Information about Dr. Kenney |
| Patient Forms |
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New Patient
Forms - Complete these forms before arriving
for your visit and save time! Complete
this form if you have never been seen by Dr. Kenney or if
you have not been seen within the last three years. |
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Former Patient Forms - Complete these forms before arriving for your visit and save time! Complete this form if you are already a patient of Dr. Kenney's but have not been seen within the last 6 months. |
| Additional Forms for
Specific Circumstances |
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Workers'
Compensation Injury - Complete this form if
your injury occurred "on the Job." |
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Consent to Treat a Minor -
Parent must accompany the minor for the first visit.
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Neck
Injury - Complete this form if you have a neck
injury |
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Low
Back Injury - Complete this form if you have a
low back injury |
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Shoulder
Injury - Complete this form if you have a
shoulder injury |
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Carpal
Tunnel Syndrome - Complete this form if you
suspect you have carpal tunnel syndrome |
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Knee
Injury - Complete this form if you have a knee injury
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