Gentle Care for Auto, Work, and Sports Injuries
Dr. Alan James, DC
721 W. Brookhaven Circle, Memphis, Tennessee  38117   (901) 821-0945

 


 

 
Wellness Directory
Click links below to learn more. 

Pinched Nerves


Payment Options
Most Insurances Accepted
Attorney Liens
Worker's Compensation
Patient Financing Available
Visa/MasterCard






 

Patient History Forms
Note to chiropractors:  We will place on this page your
own forms, or you may use the ones below.



Before your first visit our office, you might be asked to fill out and print one of the following patient history forms, and bring it with you. 

1.  Short Form       Fill out online, then print, or print first, then fill out by hand
2.  Long Form A    Fill out online, then print, or print first, then fill out by hand.
3.  Long Form B
    This form is not filled out online; print form first, then fill out by hand.

 

DISCLAIMER: No individuals, including those under our active care, should use the information, resources or tools contained within to self-diagnose or self-treat any health-related condition. Diagnosis and treatment of all health conditions should only be performed by your doctor of chiropractic or other licensed health care professional.

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