New Patient Paperwork

Journey Family Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • Some forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.
  • New Patient Registration Form

    Click to Complete

  • Patient History Form

    Click to Download

  • Patient Consent Form

    Click to Download

  • Cancellation Policy

    Click to Download

  • HIPAA Form

    Click to Download

  • Pediatric Health History Form

    Click to Download

  • Auto Accident Questionnaire

    Click to Download

  • Media Posting Permission

    Click to Complete

OFFICE HOURS


Monday
Closed


Tuesday
8:30am - 6:00pm


Wednesday
3:00pm - 7:00pm


Thursday
8:30am - 6:00pm


Friday
8:30am - 1:00pm


Saturday
9:00am - 1:00pm


Sunday
Emergency Appointments Only: Call to Schedule

Journey Family Chiropractic

802 Bombay Ln
Roswell, GA 30076

(770) 545-8070