Eastern Shore Chiropractic & Sports Clinic offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

New Patient Intake Form - Please fill out before coming in for your first visit

All new patient's please fill this out prior to arriving at Eastern Shore Chiropractic & Sports Clinic in Fairhope, AL

Please click on link to start   https://www.mychirotouch.com/patientintake/?clientid=ESCS0001

Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!