Online Forms

Dr. Le's Chiropractic & Wellness offers our patient form(s) online so they can be completed 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.

New Patient Health History Form - Required

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!

Download & Print Form


Download the Free Adobe Reader®

Contact Us

Location

Find us on the map!

Office Hours

Appointments and Walk-ins Welcome - *Lunch 1-2 PM

Monday:

8am - 6pm

Tuesday:

8am - 6pm

Wednesday:

8am - 1pm

Thursday:

8am - 6pm

Friday:

8am - 6pm

Saturday:

Closed

Sunday:

Closed

Now accepting BlueCross BlueShield of AL, Cigna, & Aetna.

If you would like to make an appointment or have any questions, please CALL our office at (334) 209-1616 or TEXT our office at (334) 559-1032 or click on CONTACT US for requesting an appointment.

We appreciate your business and have a great day! 

Your friends at Dr. Le's Chiropractic & Wellness.
Dr. Le and Staff