Online Forms

Please print and fill out the forms for your specific visit and bring them with you.

For a chiropractic visit, please print off the THREE documents below

New Patient Intake Form - Chiropractic

New Patient Pain Diagram

Medical Release Form

For Patients with United Healthcare Insurance, please print the FOUR documents below
If you are a Medicare patient, please print off the document below

Medicare Patient Form

For a massage visit, please print off the document below

New Patient Intake Form - Massage

If you are a patient of an Automobile Accident, please print and fill out the documents below

Legacy Chiropractic & Wellness

2100 Data Park Circle, Suite 100

Hoover, AL 35244

p: 205-985-9888

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For Life-Threatening Emergencies Call 911

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