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Whole Life Health Center 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 Chiropractic Patient Forms -

1. New Chiropractic Patient Health History Forms

2.Please fill out the form or forms that apply to your condition

              Back Index Form

              Neck Index Form


Allergy Questionnaire for New NAET Patients

Download & Print Form

Download the Free AdobeReader®

Upcoming Events


Feb. 20th

- Dinner with Doc at Longhorn Steakhouse on Lawrenceville-Suwanee Rd.


RSVP Today.



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

Office Hours

Monday8:00 AM - 1:00 PM2:00 PM - 6:00 PM
Tuesday8:00 AM - 1:00 PMClosed
Wednesday8:00 AM - 1:00 PM2:00 PM - 6:00 PM
ThursdayClosed12:00 PM - 6:00 PM
Friday8:00 AM - 1:00 PMClosed
Day Open Close
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:00 AM - 1:00 PM 8:00 AM - 1:00 PM 8:00 AM - 1:00 PM Closed 8:00 AM - 1:00 PM Closed Closed
2:00 PM - 6:00 PM Closed 2:00 PM - 6:00 PM 12:00 PM - 6:00 PM Closed Closed Closed


Whole Health has greatly improved my quality of life! My MS symptoms have diminished significantly. Dr. Alexander truly cares about helping you feel well and living your best life. The staff is wonderful too! If you are looking for a healthy alternative to overcome any health situation.

Natalie A. G.
Lawrenceville, GA

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