Patient Forms

Step 1) Please print and complete the Intake Form

Step 2) Which provider are you seeing?

Please print and fill out applicable form/s based on the provider you are seeing.

Chiropractic/ Medical

(Please select ONLY THE PRIMARY CONDITION THAT YOU WISH TO BE EVALUATED and fill out the applicable forms)

Physical Therapy

(Please select ONLY THE PRIMARY CONDITION THAT YOU WISH TO BE EVALUATED and fill out the applicable forms)

Podiatry

Step 3) Are your injuries the result of a recent motor vehicle accident, occupational injury (i.e. fall at work), or personal injury (i.e. fall in a store)?

If so please print and fill out the following forms.

Please feel free to review and download a copy of our HIPAA policy

Western Ave. / I-640

4307 Ball Camp Pike
Knoxville, TN 37921
Office: (865) 524-1234
Fax: (865) 524-2169

Monday: 8am - 5:30pm
Tuesday: 7am - 5:30pm
Wednesday: 7am - 11:30am
Thursday: 7am - 5:30pm
Friday: 7am - 5:30pm
Saturday: 8am - 11am
Sunday: Closed

Cedar Bluff

312 Prosperity Drive
Suite 101
Knoxville, TN 37923
Office: (865) 691-3155
Fax: (865) 694-8093

Monday: 8am - 5:30pm
Tuesday: 7am - 5:30pm
Wednesday: 2pm - 5:30pm
Thursday: 8am - 5:30pm
Friday: 7am - 5:30pm 312 Prosperity Drive
Suite 101
Knoxville, TN 37923
Office: (865) 691-3155
Fax: (865) 694-8093