Georgia Spine & Sports Rehab offers our patient forms online 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

New Patient Forms


Personal Injury/Motor Vehicle Accident/Worker's Compensation

Accident Liability Policy
Agreement of Assignment of Proceeds
Letter of Representation
Personal Injury Letter of Protection
Vehicle Accident Information

New Patient Forms


Blue Cross/Blue Shield

Blue Cross/Blue Shield Patient Form



Download the Free AdobeReader®

Contact

 
Georgia Spine & Sports Rehab
4325 S. Lee St
Buford, GA 30518
Get Directions
  • Phone: 770-614-6551
  • Fax: 770-831-5435
  • Email Us

Office Hours

DayMorningAfternoon
Monday9am-1pm3pm-7pm
TuesdayClosed3pm-7pm
Wednesday9am-1pm3pm-7pm
Thursday9am-1pmClosed
Friday9am-1pm3pm-7pm
Saturday9am-12pmClosed
SundayClosedClosed

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