• 101 Mountain Brook Dr Ste 104, Canton, GA
  • 678 880-6616
  • HSCM


Holly Springs Chiropractic & Massage offers 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.  Click on New Patient Health History Form download.
  • Fax us your printed and completed form(s) at 678-880-6617 or bring it with you to your appointment.

New Patient Health History Form: Download & Print Form

New Patient Pediatric History Form:  Download & Print Form

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!