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Practice Name

Back to Health Chiropractic

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Primary Location
3505 Salem Rd
Covington, GA 30016
Phone: 770-788-1101
Fax: 770-788-0012

Office Hours

Day
Monday9:00-6:30
Tuesday9-1
Wednesday9:00-6:30
Thursday9:00-6:30
Friday9-1
SaturdayClosed
SundayClosed
Main Content

Back to Health 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 form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

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!

New Patient Intake Form

Auto Accident Form


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



Download the Free AdobeReader®

FREE Consultation

for new patients...

- Find out how Chiropractic can help you...

*Medicare, Injury Claims, Disability Claims & some Insurance exclusions may apply.

Simply fill out the form below or call us at 770-788-1101.

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Phone: *

Our Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

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Testimonial

After my car wreck... I felt horrible. Pain relievers and muscle relaxers weren't working and my MD suggested I go see Dr. David. Within a few visits I was feeling so much better! The care was gentle and effective. Call the office today...Don't Wait!

- Bobby S. Read more...

Patient Hours

Day
Monday9:00-6:30
Tuesday9-1
Wednesday9:00-6:30
Thursday9:00-6:30
Friday9-1
SaturdayClosed
SundayClosed

Contact

Back to Health Chiropractic
3505 Salem Rd
Covington, GA 30016
Get Directions
  • Phone: 770-788-1101
  • Fax: 770-788-0012
  • Email Us
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