Patient Intake Form

Printable Form for New Patients

Simply fill in the blanks, print and bring the completed form with you to your next appointment.

Ringgold Location

5721 Battlefield Pkwy
Ringgold, GA 30736

Phone: 706-935-7729
Fax: 855-847-7647

Dalton Location

715 S Thornton Ave
Dalton, GA 30720

Phone: 706-609-0023
Fax: 706-609-0039

Best Chiropractor

Pray Chiropractic

FREE PAIN EVALUATION. CONTACT TODAY!

Call: 706-935-7729

Contact Us:

Most Insurance Accepted




Pray Chiropractic

FREE PAIN EVALUATION. CONTACT TODAY!

Call: 706-935-7729

Contact Us:

Most Insurance Accepted