Scott Chiropractic
2200 Fountain Drive • Snellville, GA 30078 • Phone: 770-972-9160 • Fax: 770-978-1699 • drjanescott@drjanescott.com
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Patient Registration Forms and Legal Documents

Please Print and complete the forms below and bring to your appointment.
All patients fill out forms 1-5

Automobile accident patients fill out forms 1-6

Work injury patients fill out forms 1-7

(You may print and bring to your appointment)

  1. Patient Registration
  2. Financial Policy
  3. Information Practices
  4. Informed Consent
  5. X-Ray Consent
  6. Personal Injury
  7. Worker Compensation
WELCOME TO THE BEGINNING OF THE END OF YOUR PAIN...
Call for your appointment today!!
770-972-9160
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