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Practice Name

Back in Motion Chiropractic & Acupuncture

Primary Location
715 Belrose Ave
Daphne, AL 36526
Phone: (251) 621-2224
Fax: (251) 621-2226

Office Hours

DayMorningAfternoon
Monday8 - 122 - 5
TuesdayBy ApptBy Appt
Wednesday8 - 122 - 5
ThursdayBy ApptBy Appt
Friday8 - 122 - 5
SaturdayBy Appt.Closed
SundayClosedClosed
Main Content

Back in Motion Chiropractic & Acupuncture offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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!

Download & Print Form


Member Wellness Registration Form - 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!

Download & Print Form



Download the Free AdobeReader®

Exclusive Offer

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Featured Services

Services We strive to provide complete care for our patients. Learn more about all the services we provide.
Make An Appointment
We will do our best to accommodate your busy schedule. Schedule an appointment today!
Online Forms Our patient forms are available online so they can be completed in the convenience of your own home or office.

Testimonials

When I have an appointment with Dr. Smith for acupuncture, he makes me very comfortable with the procedure. You would think that sticking needles into ones skin would not only cause a considerable pain, but extreme anxiety as well prior to the procedure. Not true; he does it so gently and quickly that you hardly notice it. I highly recommend acupuncture for all kinds of ailments, and Dr. Smith to do the procedure for you.

Keith Williams / Daphne, AL

Office Hours

DayMorningAfternoon
Monday8 - 122 - 5
TuesdayBy ApptBy Appt
Wednesday8 - 122 - 5
ThursdayBy ApptBy Appt
Friday8 - 122 - 5
SaturdayBy Appt.Closed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8 - 12 By Appt 8 - 12 By Appt 8 - 12 By Appt. Closed
2 - 5 By Appt 2 - 5 By Appt 2 - 5 Closed Closed

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