You can request an appointment on-line!

One of our goals at the Back and Neck Center is to always provide excellent patient care. We recognize that convenience is a large part of great customer service. Therefore, we now offer our patients the ability to arrange for an appointment on-line.

Just let us know what time of day works best for you, and a staff member will schedule your appointment and call you to confirm the date and time. It's that easy!

Part I. Patient Information:

1. What is your name?

2. If the appointment is for another family member, what is the patient's name and relationship to you?

3. What is the age of the patient?

3. Are you (or your family member) a new patient or a former patient of Optimal Health Chiropractic?

New Patient Former Patient

Part II. Appointment Request

Please fill out one of the boxes below to request either our first available opening (left box) or a specific day and time (right box).

Please choose one:

I want the first available appointment in the morning.

I want the first available appointment in the afternoon.

Please schedule me for your first available appointment, either mornings or afternoons.

Part III. Additional Information. What is the reason for the appointment? (back or neck pain, accident, headaches, wellness check, etc.) You may also use this space to provide us with any additional information you feel will be helpful to us in serving you.

Part IV. Conformation: We will schedule your appointment at the time you request and call you back to confirm the appointment time.

What is the best telephone number to reach you at during the day?

Daytime Telephone

Alternate Telephone

If you need to reach us to discuss your appointment, please call our office at 526-5020. We will be glad to assist you!

Thank you for allowing us to serve you!

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Office Phone:
(928) 526-5020