Union City Chiropractor | Union City chiropractic care | | New Patient Forms

   Family Chiropractic

6703 Shannon Parkway, Suite 14
Union City, GA  30291

Louis Okun, D.C. and Lori Okun, D.C.

(770) 964-3334

New Patient Forms
 

 

To reduce the time spent in the office during your visit, please print out these forms and fill them in thoroughly. If you have any questions while filling them out, please give Family chiropractic a call at (770) 964-3334. Remember to bring them in on your first visit. 
See you in the Clinic!
Please temporarily allow pop-ups for the forms to show when you click on them. 
General Intake Forms 
BC/BS Insurance Forms 
Accident History Questionnaire 

 

To reduce the time spent in the office during your visit, please print out these forms and fill them in thoroughly. If you have any questions while filling them out, please give Family Chiropractic a call at (770) 964-3334. Remember to bring them in on your first visit. 

See you in the Clinic!


Please temporarily allow pop-ups for the forms to show when you click on them. 

General Intake Forms  - If you have never been to our office or if it has been 3 or more years since you received care in our office, please fill out this form.

 

Accident History Questionnaire - If you were in an automobile accident, please fill out this form.  (You do NOT need to fill out the General Intake Form as well.) 

 

Patient Update - If you have been a patient in our office within the past three years, but haven't received care in six months or more, please fill out this form.  If you aren't sure when your last appointment was, please call our office at (770) 964-3334 and we will be happy to let you know.

 

 

 
 
Union City Chiropractor specializing in chiropractic care. Dr. Louis Okun is a well-trained Union City Chiropractor specializing in chiropractic care.