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Online Forms

Cormier Chiropractic & Physical Therapy Center offers our patient form(s) online so they can be completed it 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 your printed and completed form(s) or bring it with you to your appointment.




Confidential Patient Case History Form

Download & Print Form


Informed Consent for Examination and Treatment Form

Download & Print Form


Office Financial Policy Form

Download & Print Form


Informed Consent to Participate in Active Rehabilitation Form

Download & Print Form


Notice of Information Practices Form

Download & Print Form


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Contact

Cormier Chiropractic & Physical Therapy Center
6300 Airport Blvd. Ste C
Mobile, AL 36608
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  • Phone: 251-343-9990
  • Fax: 251-343-9181
  • Email Us

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