NEW PATIENT PAPERWORK

Exodus Health Center offers our patient form(s) online so they can be completed 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 at 770-420-0522 your printed and completed form(s) or bring it with you to your appointment.

Adolescent -

New Patient Paperwork

Adult - New Patient Paperwork

Pediatric - New Patient Paperwork

Personal Injury -

New Patient Paperwork

Pregnancy -

New Patient Paperwork

GET YOUR LIFE BACK TODAY!

Give us a call or use the contact form and

our staff will be in touch with you!

Exodus Health Center

2750 Jiles Rd., Suite 105

Kennesaw, GA 30144, US

Call: (770) 420-0492

Email: [email protected]

HOURS

Monday

3:00-6:30p

Tuesday

Closed

Wednesday

9:00-11:00a

3:00-6:30p

Thursday

Closed

Friday

9:00-11:00a

Saturday

(every other)

9:00-11:00a

Sunday

Closed

2750 Jiles Rd suite 105, Kennesaw, GA 30144, USA

Kennesaw Chiropractor

Exodus Health Center

770-420-0492

2750 Jiles Rd.

Kennesaw, GA 30144