The following forms can be filled out at home and help you get a head start on paper work.

Directions for downloading and saving are as follows:

Name

Revision Date

Application for Care Form

2013-02-27

 

Confidential Patient Case History Form

2013-02-27

 

 

 

 

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Forms

LaGrange Clinic of Chiropractic
403 Ridley Avenue -
LaGrange, GA 30240
Phone: 706-882-1000 Fax:706-882-1070

LaGrange Chiropractors Dr. Langston are committed to educating and helping as many people as possible in the LaGrange Georgia area, utilizing gentle and effective chiropractic care.