Here at Brackney Chiropractic Health Centers, we love having new patients! Whether you find us though a friend or online, we always welcome new faces.

We strive to give our patients the very best chiropractic care available. We also work hard to make sure to offer the most up-to-date chiropractic services so that you are able to walk out of each appointment feeling even better than you did after the last one. It is always our goal to improve your life through chiropractic care.

We want you to enjoy your time seeing us. You will be greeted by our friendly and knowledgeable receptionist and staff. Your chiropractic needs will be taken care of by our compassionate chiropractor and our support staff.

We strive to keep our practice clean and fresh smelling all of the time. Our aim is to offer you a calm and relaxing environment so you can heal properly.

When visiting us, you should expect nothing but the absolute best. That is our goal. We appreciate your business and truly look forward to serving you in the future.

If you have any questions regarding our services or your first visit, contact us today at (734) 455-4444.

Patient Forms

Before your visits, fill out your paper work in the comfort of your own home and save time in the office. Either fill out the forms digitally or print and fill out the forms below.

 

**Please note this is not a request for an appointment, if you have not scheduled yet please call before you fill the paperwork out (734)-455-4444**

New Patient Online FormDownload and Print
Pediatric Forms

Patient Intake Form (Spanish)
BSE/Re-Exam (Spanish)


Neuropathy Patients

If you have numbness and tingling in your legs/feet or arms/hands – please fill out these special forms – Download and Print


HIPAA

Read how we protect your health information anytime, at your convenience.

HIPAA Information – Download and Print


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