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Online Forms

Advanced Care Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or 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.

Forms


New Patient Case History

Terms of Acceptance

Authorization, Assignment, and Release – Payment Policy



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Office Hours

Advanced Care Chiropractic

Monday:

8:00 am-12:00 pm

3:00 pm-7:00 pm

Tuesday:

2:00 pm-6:00 pm

Dr. White Only

Wednesday:

8:00 am-12:00 pm

3:00 pm-7:00 pm

Thursday:

2:00 pm-6:00 pm

Dr. Bailey Only

Friday:

8:00 am-12:00 pm

3:00 pm-7:00 pm

Saturday:

Closed

Sunday:

Closed

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