Limited Time Offer

COMPLETE SPINAL EVALUATION, POSTURE ASSESSMENT, X-RAYS, LIFE GIVING ADJUSTMENT, AND 60-MINUTE MASSAGE FOR $49!

Pick a Date and Time

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Available Starting times for

AM

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PM

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What To Expect At Your Consultation

Please complete the questionnaire below so we can learn more about what's happening:

On a scale of 1-10, one being hardly any pain and ten being excruciating, how would you rate your pain?

Where is the source of your pain? Choose all options that apply.

Neck

Back

Knee

Shoulder

Arms

Legs

Headache

Other

What type of doctors have you seen? Choose all options that apply.

Chiropractor

Pain Management

Neurologist

Orthopaedic Surgeon

General/Family Doctor

Other

None

How did the pain begin? Choose all options that apply.

Accident at home

Vehicle accident

Accident at work/work related

It just began

After surgery

Came on gradually

Sports related

Other

Have you had any surgeries to your existing pain or any other pain condition?

Yes

What areas of your life are affected by the pain? Choose all options that apply.

Maintaining a safe environment

Communication

Breathing

Eating & drinking

Washing & dressing

Mobilization

Working & playing

Expressing sexuality

Sleeping

Daily parenting

Finances

Household chores

Self worth/value

Physical well-being

Emotional health

Other

How committed are you to fixing your pain TODAY?

Very committed

Very committed
Somewhat committed
Neutral
Not ready to commit yet
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Which insurance (if any) do you have? (We are NOT a Medicaid provider)

Aetna

Blue Cross/Blue Shield
United Healthcare
Cigna
Aetna
Humana
Medicaid
Medicare
Cash/Out of pocket
Other
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PLEASE ACKNOWLEDGE THE FOLLOWING STATEMENT: I will NOT miss my appointment once it is scheduled and confirmed because I respect your time and I understand it's not fair to others who would schedule in my place if I don't show up.

Yes

PLEASE ACKNOWLEDGE THE FOLLOWING STATEMENT: I understand that the LifeGiving Chiropractic Roswell office is located at 625 West Crossville Road, STE 126 Roswell GA, 30075

Yes

PLEASE ACKNOWLEDGE THE FOLLOWING STATEMENT: I am serious about my health and I will take advantage of this limited time offer before it expires in 7 days.

Yes

Please confirm your info below.

First Name *

Last Name *

Phone *

Click Here to Prepay Your Appointment

LifeGiving ChiropracticTap to Call (678) 620-3294

(Mon-Sat 9am-6pm)

If you receive our voicemail outside of business hours, please leave your name and number and we will return your call as soon as possible.

This offer is valid on a first come, first serve basis.

Spinal Evaluation, Posture Assessment, X-Rays, Life Giving Adjustment, AND 60-Minute Massage for only $49.

LifeGiving Chiropractic Roswell

625 West Crossville Road, STE 126

Roswell, GA 30075

New patients only. Medicaid and Medicare rules apply.

Office Hours

MON

TUE

WED

THUR

FRI

SAT

SUN

MORNING

8:00 AM - 11:00 AM

— —

8:00 AM - 11:00 AM

Closed

AFTERNOON

1:00 PM - 6:00 PM

Closed

MON

8:00 AM - 11:00 AM

1:00 PM - 6:00 PM

TUE

1:00 PM - 6:00 PM

WED

8:00 AM - 11:00 AM

1:00 PM - 6:00 PM

THUR

8:00 AM - 11:00 AM

1:00 PM - 6:00 PM

FRI Closed

SAT Closed

SUN Closed

LifeGiving Chiropractic Roswell

Limited Time Offer

COMPLETE SPINAL EVALUATION, POSTURE ASSESSMENT, X-RAYS, LIFE GIVING ADJUSTMENT, AND 60-MINUTE MASSAGE FOR $49!

Pick a Date and Time

Available Starting times for

AM

PM

What To Expect At Your Consultation

Please complete the questionnaire below so we can learn more about what's happening:

Click Here to Prepay Your Appointment

(Mon-Sat 9am-6pm)

If you receive our voicemail outside of business hours, please leave your name and number and we will return your call as soon as possible.

This offer is valid on a first come, first serve basis.

Spinal Evaluation, Posture Assessment, X-Rays, Life Giving Adjustment, AND 60-Minute Massage for only $49.

LifeGiving Chiropractic Roswell

New patients only. Medicaid and Medicare rules apply.

Office Hours

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LifeGiving Chiropractic Roswell

All Rights Reserved