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Appointment Request

Use this form to request an appointment with us. While we will do our best to accommodate your requested day and time, please note, your appointment is not fully booked until you get a confirmation from us!


Appointment Request Form

Enter your personal information, desired date/time, and a note to the doctor.

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Testimonial

Review From our Satisfied Patient

  • "I was referred to Dr. Smith by my family doctor after injuring my back splitting wood. Dr. Smith was kind, gentle, and professional. By the third week I felt no pain. I recommended Dr. Smith to my husband."

Smith Chiropractic | Spine - Sports - Wellness

Get back to work.
Get back to play.
Get back to your life.

We can help!

Schedule Appointment Online