Online Forms

James Chiropractic & Rehabilitation 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!

Download & Print Form


Personal Information Form

Download & Print Form


Download the Free AdobeReader®

Locations

Find us on the map

Office Hours

Our Regular Schedule

Cordova Office

Monday:

9:00am - 12:00pm

3:00pm - 6:00pm

Tuesday:

Closed

Wednesday:

9:00am - 12:00pm

3:00pm - 6:00pm

Thursday:

Closed

Friday:

9:00am - 12:00pm

Saturday:

9:00am - 12:00pm*

*call for open dates

Sunday:

Closed

Whitehaven Office

Monday:

Closed

Tuesday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Wednesday:

Closed

Thursday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "I have benefited tremendously from the chiropractic care I received from Dr. Myers."
    Jake. B- Cordova, TN