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540-745-6494
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Welcome to Collins Chiropractic Clinic

Complete the form below to learn more about us!


Tune in every Saturday morning at 8:00am with Bob Ashcraft & Dr. Garry Collins on WFNR 710AM RADIO and wake up to a healthier you!

Bob & Dr. Collins will be discussing topics from Dr. Collins' book REGENESIS
A Pathway To Recover Your Health

Collins Chiropractic Clinic 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.


HIPPA PRIVACY POLICY (read/print for your records).

Download & Print Form


Medical History Form

Download & Print Form

Patient Complaints Form

Download & Print Form

Consent Form

Download & Print Form


Download the Free AdobeReader®

Links

Services
We strive to provide complete care for our patients. Learn more about all the services we provide.
Make An Appointment
We will do our best to accommodate your busy schedule. Schedule an appointment today!
Online Forms
Our patient forms are available online so they can be completed in the convenience of your own home or office.