Click on the New Patient Intake Form button below to download and print out our form.  Fill it out and bring it with you to your scheduled appointment.  You may schedule your appointment 24 hours a day, 7 days a week.  If you have any questions, 

CALL NOW to speak with a Doctor or Experienced Staff who can help.  1-866-462-9732.

 


 

NEW PATIENT INTAKE FORM

HIGH SCHOOL SPORTS PHYSICAL EXAMINATION FORM

The State of Kentucky requires that all students participating in High School Sports have a Physical Examination and Consent Form on file with the school.  Click on the High School Sports Physical Examination button below to download and print out the form.  Fill in as much information as you can and bring it with you to your scheduled appointment.  You may schedule your appointment 24 hours a day, 7 days a week.  If you have any questions,  CALL NOW to speak with a Doctor or Experienced Staff who can help.  1-866-462-9732.

 


 

AUTO ACCIDENTS • SLIPS AND FALLS • SPORTS INJURIES • WORKERS COMP • WELLNESS CARE

 

Office  502.449.5955  •  Fax 502.449.5956  •  Email  frontdesk@kyinjurycenters.com  •  5105-102 Dixie Highway, Louisville, KY 40216

www.kyinjurycenters.com                                 ©2014 LOUISVILLE CHIROPRACTIC & INJURY CENTERS

 

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