Patient Media

Patient Media, Inc.
215 Sutton Lane
Colorado Springs, CO 80907
(719) 488-6663
(800) 486-2337

Samples Request

Please indicate which samples you'd like us to send and supply the
necessary mailing address information. (Questions? Click here.) Thanks!

Pick up to 5 items below for free:

Current catalog
Your First Adjustments brochure
Good News Bad News brochure
sEMG presentation materials and postcards
All report of findings documents
What Patients Want to Know brochures (18)
SPANISH What Patients Want to Know brochures
Answers to the Questions Patients Ask brochure
Can Chiropractic Help Me? brochure
Parents Guide to Today's Chiropractic brochure
Your Spine and Nervous System brochure
Patch or Fix? brochure
Wellness Care brochure
Wellness Wheel patient form
Astonishing Dr. You booklet
Relief & Wellness patient newsletter
Reactivation postcards (4)
Referral postcards (4)
How Long Will it Take? brochure

Click here to purchase samples of all items for $10.00
which we can apply to your next order.

Please ship to:
(boldfaced items are required)

Doctor's Name

Office Address

City

State/Prov

Zip/Postal Code

Country

(If not USA)

Office Phone

i.e. (000) 000-0000

E-mail