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Patient Forms

Due to COVID 19 we will limited on taking New Patients Please contact our office to make an appointment and do not make appointments online.

Please take a moment to fill out all the information and submit your paperwork.

We will receive your information prior to your visit.

The average first visit cost for chiropractic is $250 and the first visit for acupuncture is $100. 

We do not accept insurance or file insurance for Acupuncture

Thank you!

ALL new patients will be required to sign the authorization form linked below. You will either have to print this out and bring it in or sign when you come in the office prior to treatment. Please click the links to fill out forms and submit digitally.


NEW PATIENTS:  To schedule your NEW PATIENT EXAM, please call the office at (205)-408-5600 or email us at chiropractichealthal@gmail.com.