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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!

Pediatric chiropractic adjustments

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.

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Woman after a chiropractic adjustment

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:

  • Ortho Molecular

  • Thorne

  • New Chapter

  • Energetix

  • Life Extension

  • Biocidin Botanicals

  • Argentyn 23

  • Bach Flower Remedies

Auto Refills

Easy access mobile app

Free shipping on orders over $49

Get Started With Fullscript

  1. Click the link below
  2. Sign up to create your patient portal
  3. 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!

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