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New Patient Paperwork

Backsmart Health Chiropractic offers our patient form(s) online so they can be completed 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 them with you to your appointment.



If you have Insurance, we offer a complimentary benefits check for you, to see exactly what kind of insurance coverage you have. No surprises. We file the paperwork for you.

*Personal Injury Cases are typically no out of pocket expense for patient.

Cash Patients/Self Pay

We offer affordable cash fees, as well, getting 20 years experience. Dr. King also works closely with your Physician if necessary to make sure you are getting the best treatment available.

We do our best to get you feeling better as fast as possible and out of our office back to enjoying life.

*20% Military, Police, and Fireman discount.


10:00am - 1:00pm
3:00pm - 6:00pm

3:00pm - 6:00pm

10:00am - 1:00pm
3:00pm - 6:00pm

10:00am - 1:00pm
3:00pm - 6:00pm

10:00am - 1:00pm


Backsmart Health Chiropractic
5610 Bethelview Road #300A
Cumming, GA 30040
(770) 888-4288

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