New Patient Paperwork

Eckert Chiropractic Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.

All New Patients

  • Patient Information

    Click to Download

  • Intake Form

    Click to Download

  • Consent to Treat

    Click to Download

  • Privacy Notice

    Click to Download

  • Health History Form

    Click to Download

FILL OUT THE FOLLOWING IF THEY APPLY TO YOUR CONDITION:

  • Headache Questionnaire

    Click to Download

  • Neck Pain

    Click to Download

  • Low Back Pain Questionnaire

    Click to Download

  • Upper Extremity Questionnaire

    Click to Download

  • Lower Extremity Questionnaire

    Click to Download

FILL OUT THE FOLLOWING IF INVOLVED IN AN AUTO ACCIDENT:

  • Auto Accident Form

    Click to Download

OFFICE HOURS


Monday
9:00am - 1:00pm
3:00pm - 6:00pm


Tuesday
2:00pm - 6:00pm


Wednesday
9:00am - 1:00pm
3:00pm - 6:00pm


Thursday
2:00pm - 6:00pm


Friday
8:00am - 1:00pm


Saturday & Sunday
Closed

Eckert Chiropractic Center

1062 Oak Ridge Turnpike Suite B
Oak Ridge, TN 37830

(865) 220-8499
Chiropractic Oak Ridge TN Eckert Chiropractic Center