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Online Forms

If you would like to help us see you quicker when you come for your visit, you can print off and fill out these forms and bring them with you. If you have any questions about what forms you need to bring to us please call us at 256-442-2448.

  • If you do not already have AdobeReader® installed on your computer, click here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

Treatment Consent Form

Download & Print Form

New Patient Information

Download & Print Form

Insurance and Financial Policy

Download & Print Form

Lower Back Pain Scale Worksheet

Download & Print Form

Neck Disabilities Worksheet

Download & Print Form

HIPAA

Download & Print Form

Medical Release

Download & Print Form

Acknowledgement of Receipt

Download & Print Form


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Contact Us!

Locations

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Office Hours

Our Regular Schedule

Monday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Tuesday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Wednesday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Thursday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Friday:

8:00 am-12:00 pm

Saturday:

Closed

Sunday:

Closed