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Full Body Rejuvenation Center offers our patient forms online for Lithonia, Stone Mountain, Conyers, Decatur, and Atlanta, GA so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Click Here for Form

Other Forms


Consent to Chiropractic Treatment 2016

EHR Intake Form

Financial Policy 2016

HIPPA Form

LOP & Agreement 2016

Release of Authorization

Vehicle Accident Information



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