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Zen Stones

Back In Motion


Healing the Body the Natural Way



Document with Pen





Back in Motion Chiropractic 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 forms, print it out and fill in the required information.

  • Fax us your printed and completed forms to 770-704-0115 or bring them with you to your appointment.


New Patient Health History Packet


This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form


Auto Accident Packet

This packet is specific for treatment due to an auto accident.

Download & Print Form

Pediatric Patient Health History Packet

This packet is specific for pediatric patients.

Download & Print Form


Massage Client Health History Packet

This packet is specific for massage clients.

Download & Print Form

Informed Consent 


Download Here

At Back In Motion Chiropractic, it is our goal to make treating at our office very simple when it comes to insurance benefits. We are an "In-Network" provider with most insurance companies. Our highly trained staff is here to take as much of the burden off of you, the patient, as possible.


When you visit our office simply bring your insurance information with you.


Insurance possibilities are:

  • Health insurance through your employer

  • Health insurance through your spouse's employer

  • General health insurance you may have purchased independently

  • Automobile insurance on your vehicle

  • Automobile insurance on the vehicle you were a passenger in


We will verify* all of your benefits and explain your coverage. We accept most all benefits and file them at no charge to you. At our office you will not have to worry, we will make sure your case is handled properly. Your care is our primary concern.


Auto accident injuries require proper documentation and special attention and our staff take care of everything.


*A verification of insurance benefits is not a guarantee of coverage.

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