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For Work Related Accidents ONLY: In order to provide you with the best possible care, please complete this form in detail, as well as the "New Patient History Form".

Patient Information

Work Related Accident

IN GENERAL:

Indicate your degree of comfort while performing the following activities:

Recovery

To evaluate the effect that continuing to work will have on your recovery please complete the following:

Worker's Comp Insurance

Thank you for taking the time to fill out your paperwork online. We look forward to serving you.

Exclusive Offer

Sign up now for a free consultation

to find out if chiropractic can help you!

(exam and x-rays not included)

THIS ---->https://healthyknox.com/new-patient-center/online-forms/work-related-accident.html

Office Hours

DayMorningAfternoon
Monday3-6pm
Tuesday9:30-12pm3-6pm
Wednesday3-6pm
Thursday9:30-12pm3-6pm
FridayClosed
Saturday*9-11am by appt only
SundayClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:30-12pm 9:30-12pm Closed *9-11am by appt only Closed
3-6pm 3-6pm 3-6pm 3-6pm
* Click HERE to see Saturday Hours.

Testimonial

have been so pleased with meeting Scoles Family Chiropractic. I feel so good every time I go. I can tell them where I have an issue and they fix me. Thank you so much Dr. Andy and Dr.Jennifer.

Melanie N.
Knoxville, TN

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