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Temple Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • 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.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form

Exclusive Offer

New patients receive 10% OFF first visit.

Sign-up using the form or call us at (770) 562-8590 to take advantage of this exclusive offer. This offer is not valid in conjunction with insurance or Medicare.

THIS ---->https://latercom.chiromatrixbase.com/online-forms.html

Office Hours

DayMorningAfternoon
Monday9 AM to6 PM
TuesdayClosed
Wednesday9 AM to6 PM
ThursdayClosed
Friday9 AM to6 PM
SaturdayClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9 AM to Closed 9 AM to Closed 9 AM to Closed Closed
6 PM 6 PM 6 PM Closed

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