Cartersville (470) 800-1065 | Palm Harbor (727) 748-9900 | Smyrna (770) 539-5915

New Patient Paperwork

Chiropractic Injury Clinics of America offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.