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Practice Name

Full Body Rejuvenation Center

Social Media
Primary Location
3636 Panola Rd Suite B
Lithonia, GA 30038
Phone: 770-733-1381
Fax: 866-762-9112

Office Hours

DayHours
Monday10am - 6pm
Tuesday10am - 6pm
Wednesday10am - 6pm
Thursday10am - 6pm
Friday10am - 2pmBy Appt. Only
Saturday10am - 2pmBy Appt. Only
SundayClosed
Main Content

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



Download the Free AdobeReader®

Exclusive New Patient Offer

New Patients Receive Complimentary Spinal Check

Sign-up using the form or call us at 770-733-1381 to take advantage of this exclusive offer.

Complimentary Spinal Check

First Name  *
Last Name  *
Email  *
Phone Number  *

3D Spine Simulator

 

 

Kind Words Go A Long Way

After just two visits Dr. Smith helped alleviate the pain and pressure in my side. I felt the relief as soon as she finished with my adjustment.

Wendy Herbert -
Lithonia, GA

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Make An Appointment

We will do our best to accommodate your busy schedule. Schedule an appointment today!

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Our Chiropractic Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

Read More

Contact

Full Body Rejuvenation Center
3636 Panola Rd Suite B
Lithonia, GA 30038
Get Directions
 

Office Hours

Open the 1st and 3rd Saturday of every month from 10am to 2pm BY APPOINTMENT ONLY

DayHours
Monday10am - 6pm
Tuesday10am - 6pm
Wednesday10am - 6pm
Thursday10am - 6pm
Friday10am - 2pmBy Appt. Only
Saturday10am - 2pmBy Appt. Only
SundayClosed
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