Online Forms

Cumming Chiropractic Center offers our patient form(s) online so they can be completed it in the convenience of your own home or 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!

Download & Print Form



Patient Update Form 

Download & Print Form


Picture Consent Form 

Download & Print Form



Download the Free AdobeReader®

Schedule an Appointment Today!

Office Hours

Our Regular Schedule

Monday:

8:30 am-12:30 pm

3:00 pm-6:00 pm

Tuesday:

2:30 pm-6:30 pm

Wednesday:

8:30 am-12:30 pm

3:00 pm-6:00 pm

Thursday:

Closed

Closed

Friday:

8:30 am-12:30 pm

3:00 pm-6:00 pm

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Location

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Testimonials

Reviews By Our Satisfied Patients

  • "I love coming here! The staff is friendly and welcoming. Dr. Jason has helped to take away a lot of my back pain. The best part is that it's helped with my headaches. I rarely have any after having a minimum of 5 a week. Just awesome!"
    Rhonda J.

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