No Cost Health Pass*
Covers initial examination and consultation.
New Patients Only. Not redeemable for cash.
Contact us for a no cost examination and consultation
New Patient Intake Forms
Click Here to download a PDF copy of our New Patient Paperwork. This will download the form on your computer. Please print a copy to fill out and bring with you on your first visit. Please remember to also bring a copy of your Driver's License/Photo ID and a copy of your Insurance card (if applicable), so that we may obtain a copy to have on file, as a matter of record.
Note: Please complete all of the attached new patient information sheets and don't forget to sign and date each of them. If the patient is a minor or under care of someone, a parent or guardian must complete the "Consent to Treat a Minor" paperwork as well.
If you are a current or former patient who needs to update your history, please click here to print our Patient Update Form.
Automobile Accident Victims
If you've been involved in an automobile accident, please click here to download a copy of the Auto Accident Forms. These forms need to be submitted along with our other New Patient Paperwork. If you have a copy of the accident report, please bring that with you to your appointment.
In addition, please complete the top box with the image of a human, and please enter your height and weight, and shade in your areas of discomfort. This includes shading in any areas of discomfort in the head, neck, upper back, low back, and any burning, numbness, or tingling sensations in your arms, legs, hands, or feet.
We look forward to seeing and serving you soon! If you have any questions, please feel free to give us a call at (423) 283-4055 or (423) 283-4044.
What to expect on your first visit
When you arrive, we will request that you complete our patient forms if you have not done so already. For your convenience, we encourage you to complete the New Patient Paperwork before arriving for your appointment. You can access all of the necessary paperwork/forms for New Patients, by clicking here.
As you will see, this paperwork provides us with your health history and information on your condition, so we may better serve you.
While you are here, we will create a record of your health history, complete an examination, and also some clinical decision-making. If treatment is considered an appropriate option, the details of the proposed plan will be discussed with the patient. If the patient is in agreement, then self-care instructions will be given, which will help to allow the patient to immediately begin “correcting” their problem.
Decades of Education and Experience to Better Serve You
The Doctors and Professional Staff members at Johnson City Chiropractic Clinic have one priority: You!
Our goal is that you are free of pain, naturally, without drugs or surgery.
Every patient is extremely important to us and we want to show you that we care and appreciate you.
Friendly, Professional Treatments
We are here to serve you. Our staff members are well educated and have many years of experience working with patients. Our goal is to help you heal and feel better without drugs or surgery. Give us a call or make your appointment online.
Johnson City Chiropractic Clinic
206 Princeton Road
Suite 14 in Princeton Square
Johnson City, TN 37601