Accessibility View Close toolbar

Online Forms

Lang Chiropractic Center offers our patient form(s) online so they can be completed in the convenience of your own home or 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 Packet - 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!

Consent to Treatment Form : consent-to-treatment.docx
Insurance Consent Form : insurance-consent.pdf
Patient Intake Form : patient-intake-form.docx
HIPAA Release Form : basic-hipaa-release-form.docx
No Show Policy Agreement : no-show-policy.docx


Download the Free AdobeReader®

Sign-up using the form or call us at (256)-444-1600 to make an appointment

Location

Find us on the map

Office Hours

WALK-INS ARE WELCOME

Primary Location

Monday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Tuesday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Wednesday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Thursday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Friday:

8:00 am-12:00 pm

Saturday:

Closed

Sunday:

Closed