Please use the following links to print and fill out our insurance coverage and patient health history forms:

Free Adobe Reader download

Welcome Sheet
Health History Forms
Pain Drawing Form
Chiropractic Analysis

If you are seeking chiropractic care related to a recent auto accident you have had, please click the link below and fill out those forms as well:

Accident History

If you are a parent/guardian and seeking chiropractic care for a child younger than 10 years old, you only need to fill out the form below by clicking on the link provided:

Child’s Info

Please print this Insurance Verification Form complete as much of it as you can and fax it to us at 770-445-3730, if you would like us to verify your insurance first.