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Starting Your Chiropractic Journey Has Never Been Easier
New Patient Information
Take the first step to becoming a better you by calling our office to schedule your first appointment with Back in Motion Chiropractic. Whatever you need – from chiropractic adjustments to massage therapy – count on our professional team to help you start your journey. Our office is conveniently located in The Centre at Bridgemill in downtown Canton, GA. First-time patients, please download and fill out the forms below before your first appointment.
See what Back in Motion Chiropractic has to offer!
Patient Forms
- If you do not already have AdobeReader® installed on your computer, Click Here to download.
- Download the necessary forms, print them out, and fill in the required information.
- Fax us your completed forms to 770-704-0115 or bring them with you to your appointment.
New Patient Health History Packet
By understanding your medical history and current health status, we can better assist you in achieving your wellness goals.
Auto Accident Packet
This packet is only for individuals receiving treatment due to an auto accident.
Pediatric Patient Health History Packet
Parents, please fill out this form for children receiving pediatric treatment.
Massage Client Health History Packet
This packet is for patients receiving massage therapy services from us.
Informed Consent
Please download and read our informed consent packet.
Insurance Information
When you visit our office, please bring your insurance information. We are an “In-Network” provider with most insurance companies. We will verify all of your benefits and explain your coverage, and we accept most benefits and file them at no charge to you, so you don’t have to worry about anything. Our staff will ensure that your case is handled properly, and your care is our top priority.
We understand that auto accident injuries require special attention and proper documentation, which is why our team takes care of everything.
Please note that verification of insurance benefits is not a guarantee of coverage.
Fullscript Supplements
Back in Motion Chiropractic is proud to offer our patients a 10% discount on supplements from Fullscript! Fullscript is a supplement dispensary that is associated with Emerson Ecologics, a leading distributor of professional-grade supplements from brands such as:
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Ortho Molecular
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Thorne
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New Chapter
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Energetix
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Life Extension
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Biocidin Botanicals
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Argentyn 23
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Bach Flower Remedies
Auto Refills
Easy access mobile app
Free shipping on orders over $49
Get Started With Fullscript
- Click the link below
- Sign up to create your patient portal
- Search for supplements or view personal recommendations from your care provider
See What Our Patients Are Saying
If you are ready to schedule your first appointment with Back in Motion Chiropractic, give our office a call to get started!
Back in Motion Chiropractic
Business Hours:
Monday: 8 AM - 6 PM
Tuesday: 9 AM - 7 PM
Wednesday: 8 AM - 7 PM
Thursday: 9 AM - 7 PM
Friday: 8 AM - 5 PM
Saturday: 8 AM - 12 PM
Sunday: Closed
Lunch Hours: 12 PM - 3 PM daily
Phone: 770-704-0114
Fax: 770-704-0115
Email:bimchiro@windstream.net