Patient Forms

Advanced Chiropractic offers patient form(s) online, so they can be completed in the convenience of your own home or office. However, we  encourage all new patients to arrive 10-15 minutes early.

  • Download and print the necessary forms and fill in the require information
  • Fax us your printed and completed forms to 770.683.5025 or bring them with you to your appointment.


New Patient Forms

Our New Patient Forms are unique and thorough. They let us know the history and current state of your health.

What to bring:

  1. Photo ID
  2. Insurance Card (if applicable)
  3. Completed Forms (if applicable)

Download & Print the New Patient forms: New Patient Forms

Download & Print the New Patient Pediatric forms: New Patient Pediatric Forms


Auto Accident Forms

Before Your First Visit:

Call your insurance company and file a claim.

You Will Need to Get the Following Information from Your Insurance Company. Please call us with this information before your scheduled appointment, so we can verify the information ahead of time to reduce your waiting time.

  1. Claim Number
  2. Insurance Adjuster's Name
  3. Insurance Adjuster's Phone Number
  4. How Much Medical Pay You Have

What to bring:

  1. Driver's License or Georgia ID
  2. Above Information from Insurance Company
  3. Car Insurance Information of the Car You Were In During the Accident
  4. Accident Report (if you have one)
  5. Health Insurance Card
  6. X-rays (if you've had any taken since your accident)

Download & Print the New Patient forms: Auto Accident form