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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

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Office Hours

Our Regular Schedule

Whitehaven Office

Monday:

CLOSED

CLOSED

Tuesday:

9:00 am-5:30 pm

Wednesday:

CLOSED

CLOSED

Thursday:

9:00 am-5:30 pm

Friday:

CLOSED

CLOSED

Saturday:

CLOSED

CLOSED

Sunday:

CLOSED

CLOSED

Cordova Office

Monday:

9:00am

6:00pm

Tuesday:

CLOSED

CLOSED

Wednesday:

9:00am

6:00pm

Thursday:

CLOSED

CLOSED

Friday:

9:00am

6:00pm

Saturday:

9:00am*

12:pm*

Sunday:

CLOSED

CLOSED

Testimonials

Reviews By Our Satisfied Patients

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