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Paperwork

We have provided your new patient paperwork here for your convenience.

Feel free to submit electronically or download and print these to save you 15 minutes when you first come into our office. Please fill these forms out in their entirety, being sure to sign all forms. If you do not have access to a printer at home, then don't worry because we will gladly provided your paperwork at your first appointment!

Please don't hesitate to call us if you have any questions concerning the paperwork.

Print and provide at first appointment. All New Patients must complete this form.

Form submits electronically, but cannot be completed from phone.

Print and provide at first appointment. All New Patients must complete this form.

Print and provide at first appointment - also complete Adult Chiropractic Form (electronically).

Print and provide at first appointment for infants and kids up to age 4.

Print and provide at first appointment for kids age 5-17.

If your child has a sensory processing disorder, complete in addition to Pediatric Form. 

Call to schedule an appointment today!     |     (334) 446 - 5381    |     1347 W Main St Dothan, AL 36301

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