Online Forms

Atlantic Coast Chiropractic offers our patient form(s) online so they can be completed it 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 Health History Form - 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 by filling out the Intake Form and the appropriate Questionaire Form!

Health Insurance Patients - Intake Form

Auto Accident Intake Form 


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Office Hours

Our Regular Schedule

Monday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Tuesday:

8:00 am-12:00 pm

Closed

Wednesday:

8:00 am-12:00 pm

2:00 pm-7:00 pm

Thursday:

10:00 am-12:00 pm

2:00 pm-6:00 pm

Friday:

8:00 am-12:00 pm

Closed

Saturday:

9:00 am-11:00 am

Phone Call Appt.

Sunday:

Closed

Closed

Location

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Testimonials

Reviews By Our Satisfied Patients

  • "My C1 was out of alignment and I learned that it can cause vertigo and nausea - which I am sensitive to, for example I have terrible motion sickness. I decided to come to Dr. Anthony because 3 of my friends highly recommended him and he fixed my alignment issues. I've made eight flights since and did not experience motion sickness! I'm impressed with the warmth and competence of Dr. Anthony's practice. He practices holistic health; he is good at integrating health, diet, exercise, and well-being."
    Sonya R.
  • "Even though I had seen multiple chiropractors in the past, I still had some chronic problems, suffering with upper back spasms. This problem has been going on for nearly 8 years. Since Dr. Anthony treated me with the Graston Technique I haven't had any more symptoms and am looking forward to getting back into the gym. I can now see how chiropractic care is terrific for posture, chronic pains, and an overall sense of well-being."
    Jason H.

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