Online Forms

Family Chiropractic & Acupuncture Center 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!

Chiropractic Forms:

Insurance/Cash

Personal Injury

Workers Comp

Acupuncture Form

Established Patient Forms

Upper Back Pain

Lower Back Pain




Download the Free AdobeReader®

Office Hours

Our Regular Schedule

Monday:

9:00am - 12:00pm

3:00 PM - 6:00 PM

Tuesday:

9:00am - 12:00pm

3:00 PM - 5:00 PM

Wednesday:

8:30am - 12:00pm

3:00 PM - 7:00 PM

Thursday:

9:00am - 12:00pm

3:00 pm - 6:00 pm

Friday:

8:30am - 12:00pm

2:00 pm - 5:00 pm

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Locations

Find us on the map

Testimonial

Review By Our Satisfied Patient

  • "I could barely walk or bend over. 8 weeks later I am in little to no pain. Dr Gray is great with lower back, upper back, neck and jaw issues!!"
    Tonya R.
  • "Dr. Gray is amazing! He helped me after a car accident. The staff is always super friendly and helpful if you have any questions!"
    Leilani M.
  • "Been going to doctor Gray for years does a great job"
    Raymond E.
  • "Very professional and caring"
    Josef P.
  • "Awesome place to go to they treat you like family there and it is hardly ever a wait as they make sure to take care of you I highly recommend it to anyone."
    Edward G B
  • "Best around!!"
    Rasheed R.
  • "Dr. Gray and the staff here are amazing! I came in a mess, and I feel so much better!"
    Amy B.
  • "they're amazing at what they do, would recommend to a friend"
    Frank T.
  • "Dr. Gray is the best!!! He knows just what to tweak each time I go in. Professional, courteous staff and never wait more than 5 minutes to be seen."
    LaConya C.
  • "I'm a regular here. The staff is extremely helpful and nice. I especially appreciate that I always feel a personal connection more like a friend than a client"
    Janey E.
  • "Dr. Gray is amazing! He helped me after a car accident. The staff is always super friendly and helpful if you have any questions!"
    Leilani M.

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