THE CLINIC

CONTACT

10515 Bells Ferry Rd, Ste 100

Canton, GA 30114

Email: info@mysite.com

Tel: 770-704-0114

Fax: 770-704-0115

© 2018 by Back In Motion Chiropractic. Proudly created with Wix.com

Office Hours:

Monday: 8am - 6pm 

Tuesday: 9am - 7pm

Wednesday: 8am - 7pm

Thursday: 9am - 7pm

Friday: 8am - 5pm  

​​Saturday: By Appointment Only ​

Sunday: Closed

Back In Motion

Chiropractic

Healing the Body the Natural Way

770-704-0114

NEW PATIENT CENTER

Online

Forms

Insurance

Info

Natasha

Uffner, L.M.T.,

C.C.T.

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

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.