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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

UPCOMING EVENTS

BACKPACK AWARENESS WEEK - JULY 31 - AUGUST 4

Just in time for school, bring your child in for a complimentary backpack check.

Heavy and/or improperly worn backpacks can cause many current and future problems for school age children including headaches, back pain, neck, and shoulder pain.

Call TODAY for the most convenient time.

678-407-8230

 

Online Backpack Awareness Week Evaluation Form Click HERE

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

Office Hours

DayOpenClose
Monday8:00 AM6:00 PM
Tuesday8:00 AM - 11:00 AMClosed
Wednesday8:00 AM6:00 PM
Thursday8:00 AM6:00 PM
Friday8:00 AM3:00 PM
SaturdayClosedClosed
SundayClosedClosed
Day Open Close
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:00 AM 8:00 AM - 11:00 AM 8:00 AM 8:00 AM 8:00 AM Closed Closed
6:00 PM Closed 6:00 PM 6:00 PM 3:00 PM Closed Closed

Testimonial

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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