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www.perkinschiropractic.net

Online Forms

Perkins Chiropractic Clinic offers our patient form(s) online so they can be completed it 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.


Welcome Form

Download & Print Form


New Patient Health History Form

Download & Print Form

Informed Consent Form

Download & Print Form


HIPPA Consent Form

Download & Print Form



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Mon 8 - 12 2 - 6
Tue Closed 2 - 6
Wed 8 - 12 2 - 6
Thu Closed 2 - 6
Fri 8 - 12 2 - 6
Sat By Appt Closed
Sun Closed Closed

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678-957-6808
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