Online Forms

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

New Patient Intake Form - Chiropractic

New Patient Pain Diagram

Medical Release Form

For Medicare patients

Medicare Patient Form

For Patients with United Healthcare Insurance
 
For Massage Visits

New Patient Intake Form - Massage

For Automobile Accident Patients
 

Legacy Chiropractic and Wellness

2100 Data Park Circle, Suite 100

Hoover, AL 35226

Tel. 205-985-9888

Fax. 205-985-9895

Monday - Thursday 7:30-1:00 / 3:00-6:00

Friday 9:00-1:00

Saturday Massage only (by appointment)

Sunday CLOSED

For Life-Threatening Emergencies

Call 911

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