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New Patient Paperwork

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

  • All 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.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

printerNew Patient Paperwork - Click Here to Download



“My migraine headaches are gone, since I became a patient at 20 Dollar Chiropractic Norcross.”

- Mary J. - Stock Broker

I got over a really bad flu in one day under chiropractic care.”

- Ruth J.

“It really is only $20 per visit, every visit.”

- Mark W.

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