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Dr. Russ Glassman Chiropractor in Dacula
CALL TODAY 770-614-6630
  • Chiropractic Services
    • Auto Accident
    • Chiropractic Care
    • Spinal Decompression
    • Physical Therapy
    • Athletic Performance Enhancement
    • Massage Therapy
  • Medical Services
    • Medical Weight Loss
    • HCG Injections
    • Sexual Health
    • Hormone Replacement
    • Conditions
  • Iv Infusions
    • Myer’s Cocktail
    • High Dose Vitamin C
    • Glutathione
    • Recovery
    • Weight Loss
    • Pain Relief
    • Chronic Pain Plus
    • Peptide Infusion
    • NAD+
  • About
    • Dr. Glassman
    • Our Team
    • Our Clinic
    • Our Approach
    • Testimonials
  • Resources
    • Insurance
    • Patient Forms
    • Blog
  • Contact

Patient Forms

Patient Forms

If you are visiting our office, please fill out the applicable forms. If you have any questions, feel free to give us a call!

Medical Forms

  • Medical Symptoms Questionnaire

Chiropractic Forms

  • New Patient Welcome Packet
  • Neck Pain Questionnaire
  • Lower Back Pain Questionnaire

Physical Therapy Forms

  • New Patient Welcome Packet

Functional Medicine Forms

  • Female Intake Questionnaire
  • Male Intake Questionnaire
  • Medical Symptoms Questionnaire

We accept the following insurance carriers

Contact Info

  • Location :3515 Braselton Hwy, Ste E-2, Dacula GA 30019
  • Phone :770-614-6630Opens in your application
  • Email :staff@hmfcc.comOpens in your application










Hours

Monday & Wednesdays
9:00 am - 1:00 pm
3:00 pm - 7:00 pm

Tuesdays & Thursdays
10:00 am - 6:00 pm

Fridays
9:00 am - 1:00 pm
2:00 pm - 5:00 pm

Saturdays
9:00 am - 12:00 pm
Sundays - Closed

Resources

  • Chiropractic Services
  • Sexual Health
  • Medical Weight Loss
  • IV Infusions
  • Conditions
  • Auto Accident
  • Massage Therapy

Helpful Links

  • Our Clinic
  • Meet Dr. G
  • Testimonials
  • Accepted Insurance
  • Patient Forms
  • Blog
  • Contact
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