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www.chiroatlanta.com

Online Forms

Senft Chiropractic offers our patient form(s) online so you can complete it in the convenience of your own home or office.

Form completion options:

  • If you do not already have AdobeReader® installed, Click Here to download.
  • Download the form(s), print and complete information.
  • Download the form(s), complete on line and print.

Completed forms can be:

  • scanned and emailed to:  info1@chiroatlanta.com
  • Faxed to (404) 633-0573
  • Brought with you on your scheduled appointment  


New Patient Health History Form - Required

This let’s 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



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 office. You can print it out and bring it in to our office 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


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Office Hours

Mon 9 - 1 3 - 6:30
Tue Closed 3 - 6:30
Wed 9 - 1 3 - 6:30
Thu 9 - 1 3 - 6:30
Fri 9 - 1 Closed
Sat By Appt Closed
Sun Closed Closed

Call Us:
404-633-6787
Request
Appt.

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