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New Patient Health History Form

After you have set up an appointment, you can fill out our patient intake form here to make things quicker and easier for you. Once you fill out the online form and submit it, we will receive it in our office and be able to start getting everything set up for you in anticipation of your appointment.  

Please note that filling out an online form before making an appointment will not guarantee you an appointment - you MUST call the office at 501-778-2121 to schedule your first appointment.

Fill out and Submit forms online*

*The online form works best with a computer or tablet. We have had reported issues that filling the form out on the phone will not allow you to sign it, thus making it unable to be submitted. 


Get our Newsletter! (Optional)

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!



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THIS ---->https://alcoachiropractic-bryantcom.chiromatrixbase.com/online-forms.html

Office Hours

DayMorningAfternoon
Monday9am-12:30pm2:30pm-6pm
Tuesday9am-12:30pm2:30pm-6pm
Wednesday8am-2pmClosed
Thursday9am-12:30pm2:30pm-6pm
Friday8am-2pmClosed
SaturdayMassageBy Appt
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9am-12:30pm 9am-12:30pm 8am-2pm 9am-12:30pm 8am-2pm Massage Closed
2:30pm-6pm 2:30pm-6pm Closed 2:30pm-6pm Closed By Appt Closed


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Bryant, AR

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