Patient Intake Forms

Click icon below to download our new patient form as a PDF Document.

Once downloaded, print, fill out, and bring with you to your next office visit.

pdfAdv Chiropractic Patient info1.pdf

pdfAdv Chiropractic Patient info2.pdf

pdfNeck Disability.pdf

pdfLow Back Disability.pdf

pdfHealth History 1.pdf

pdfHealth History 2.pdf

pdfHIPAA Compliance Form.pdf

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Mon   7:30 - 1:00   2:30 - 6:00  
Tue  7:30 - 1:30   
Wed  7:30 - 1:00  2:30 - 7:00 
Thu   7:30 - 1:00   2:30 - 6:00
Fri Closed Closed
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Time of Day

Low Back Pain


S. C.

Severe and worsening pain coming from my lower back. After treatment and exercise I feel 90% improved.


E. B.

Having trouble sleeping, playing in band, and doing school activities. I have had these problems for about 3 years. Now, I have more energy than ever.


S. B.

I have dealt with lower back issues since the early 70’s. Since treatment, about 60% better and only going up.


W. G.

I’ve had low back pain for years. It hurt to sit and roll over in bed. I have used numerous steroid packs for relief and nothing seemed to help. Since following through with treatment, 90% improved.


J. H.

50% improvement, now back to walking and exercising.


D. S.

Severe pain in lower back, could not bend over or else legs would go numb. It only got worse throughout the years. It was affecting my job. Now, 80% better and a definite increase in strength, “I feel like I can do anything, there is a way!”.


B. F.

Sharp pains in back causing me a lot of trouble and could not sleep. Since treatment, increased energy, can lift without pain, essentially, 100% better. Have referred people.


E. P.

Doing great, no pain, mental outlook improved, 80% better to date.


B. D.

80% better, reduced pain, increased energy, increased strength and whole mental outlook has improved.


S. B.

90% improved, back pain does not bother me at work anymore.


J. C.

Came in with constant lower back pain, rated about a 7 on a scale of 10. Have seen other Chiropractors and it gradually worsened. Could not play softball anymore. Since treatment, pain is reduced by 70%, energy and strength levels have gone up and much more mobility. Will continue to refer.


C. H.

Came in with leg pain and lower back pain and was out of work. At present, back to work. 80% improved and still going.


T. G.

90-100% improved. I did not happen overnight, but with hard work and maintenance good things came. Have referred my entire family.


D. H.

Pain is gone, finally!


P. J.

Under care, halfway through, 60% reduction in pain. Working on getting back into exercise.


C. C.

Hurt lower back, could not exercise, at present very good progress.


L. W.

Good progress, 80% improved. I was not able to stand, bend, exercise or dance. Now I can! Pain is essentially gone.


R. L.

In a short period of time my lower back pain has decreased by 60%. I have referred.


D. H.

Back pain was preventing me from playing football and exercising. Right now, 90% improved.


K. H.

Severe curvature in my spine that was pinching the nerve to my right hip. I could hardly sit or stand. I am now mobile, can sit, get up from chair, roll over in bed and stand straight without pain. At 71 I feel totally renewed and grateful to have Dr. Parson as my doctor.


J. M.

Saw another Chiropractor, but it didn’t work out. A huge difference in the care I received with Advanced Chiropractic. Currently, 70% better and still improving. Mental outlook is much better now.          


B. J.

80% improved, was affecting ability to work and exercise. Essentially, back to normal life.


A. S.

90% improved, general strength is much better. Back to doing normal school activities.


M. C.

100% improvement for my lower back. Doing great!


A. W.

90% better. Energy has increased and mental outlook is much improved. Able to do my job, a stylist, without pain. Referred many to the office.


I. G.

90% improved. I have Achilles spurs and the laser has helped a great deal. I can walk around Dollywood now, couldn’t do that before. Lower back is much better.


R. B.

Have had chronic lower back pain and have been under Chiropractic care for a long time. Since treatment, I am able to work as a waitress with much less pain. 50% better.


R. S.

Excellent progress! I have more energy with minimal to no pain and back to exercising. Have referred a lot.


A. G.

Good progress, was not sure Chiropractic care could help me, I am 95 years old. It has been good improvement with less pain and I’m moving a lot better.


R. P.

            Could hardly stand for any length of time without pain, affecting my job as a landscaper. After going through the prescribed treatment I have no problems, excellent progress, and can exercise. 90% recovered.


J. F.

Back was interfering with everything I needed to do, including work.Since treatment, 90-100% better.


P. C.

Able to sit and bend now. This is the best my back has felt in years. Have gladly referred others. Excellent progress.


K. G.

Pain gone, excellent progress!


S. N.   

            Excellent progress, able to work now. 80% better.


O. R.

            Much improved. Was having trouble going to the bathroom...my spine and nerves had something to do with it, 60% better.


A. G.

            Long term low back pain. 90% improved, energy and outlook has changed for the better.


C. H.

            I could hardly sit through school, back was hurting all the time. Finally was shown what the problem was in my spine. Right now, 90% better. Gladly referred.


K. H.

            Excellent progress...90% improved and have sent my family in for care.


J. M.

            I have had back surgery in the past, my lower back pain came back in a bad way. Did not want to have surgery again. Since treatment, my back, hip and leg are 90% better, and able to get back to running around. Have told a lot of people about my experience.


P. L.

            Much improved since treatment. 80% right now. Less pain and more energy.


V. D.

            Doing great, rated as excellent progress for my lower back pain. Energy has improved and lifting my little ones no longer hurts. Have told a lot of people.


M. C.

            I came in with my back hurting…bad. Also, told the Doctor about constipation problems. He showed me how the two were related and also some home remedies. Now, 90% better, and my grandchildren and children can see a big difference in me.


E. J.

            I could not vacuum, run or sleep on my right side. Dr. Parson showed me how my hip and back were connected. Since treatment, excellent progress…no pain and doing all the things I want to do!


V. G.

            When I started, I could not workout anymore and was basically doing nothing. Since care, I am back to working out and feel 70% better in all areas. I am 61 and have degenerative disc so we still have a ways to go, but getting there.


J. R.

            I came in with leg and back pain that was keeping me from coaching and doing a lot of activities. The medical doctors were giving me shots and considering surgery. Since treatment, my leg pain is gone, I am coaching again and having very little problems. I would rate my progress as excellent.


T. R.

            Had to go to the ER my back was so bad, couldn’t stand or sit and lost work time. They just gave me meds, but I was bent to the side. After treatment, I am 90-100% better and can get back to working out. Energy is better and playing golf again.


N. H.

            When I came in I recently had knee surgery, since then my lower back pain began worsening. Was referred by another patient. Hurt to just get out of a chair and I couldn’t sleep, exercise or walk. They showed me my problem and after treatment I am 80-90% better and strength.


V. R.

            My back pain was just getting worse, when I was explained to what was going wrong I finally decided to try and fix the problem. I am doing much better @70% and back to doing about anything I want!


D. C.

            I have gone to many Chiropractors over time, but my back still hurt. Legs were heavy, I didn’t sleep well and was taking meds for depression because of it. Dr. Parson showed me there was hope and how the problem could get better. It did, I am 90% better, sleep better, more energy, my outlook is so much better! Thanks so much.


A. B.

            My lower back and leg were killing me. Couldn’t go upstairs, bend or sleep. Since care I am 90% better, I have no lower back pain, my energy is much better, and yes, my outlook is a whole lot better! Thanks, now I have to move and find someone in Georgia to keep me up.


D. R.

            When I came in I could hardly stand for minutes, mornings were rough. I tried other Chiropractors, to no avail. I am now feeling much better, about 50%. But that 50% has made a world of difference in my job.

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