Accessibility View Close toolbar

Online Forms

Community Chiropractic, P.C. 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.

NPI Form

This lets us know what’s happened, but perhaps more important, where do you want to take your health?

Download & Print Form


Minor Consent Form

This is Parental/Guardian consent to treat a minor child.

Download & Print Form


Automobile Accident

If your health issue is the result of a car accident, we need some additional information.

Download & Print Form


Worker’s Compensation

If your health issue is the effect of an injury at work, this information will help us help you.

Download & Print Form


OSW Form

Download & Print Form


NDI Form

Download & Print Form

Medicare Financial Policy

Download & Print Form


Financial Policy

Download & Print Form


Receipt of Privacy Policy

Download & Print Form

Massage Therapy Patient Information

Download & Print Form


Download the Free Adobe Reader®

Our Locations

Office Hours

Fulton Office

Monday:

7:30 am-11:00 am

1:30 pm-5:00 pm

Tuesday:

7:30 am-11:00 am

Wednesday:

7:30 am-11:00 am

1:30 pm-5:00 pm

Thursday:

Closed

Friday:

7:30 am-11:00 am

1:30 pm-5:00 pm

Saturday:

Closed

Sunday:

Closed