Chiropractic Ambassador

CHIROPRACTIC AMBASSADOR GIFT CERTIFICATE

    This Gift Certificate entitles:_______________________, to Rocky Mtn Chiropractic & Sports Rehab for 1 New Patient Consult, Exam/1st Visit discounted at $35.00.
(X-rays not included if needed.)
This cannot be combined with insurance or any other special offer. 

Please print and bring in Certificate at 1st visit.

   I would like to thank:__________________________, for this referral.
(Please fill in name of Referral Source.)

Rocky Mtn Chiropractic & Sports Rehab
1880 Dublin Blvd., Ste. E
(719)535-9900