Online Forms

Burke Chiropractic offers our 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.
  • 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 AdobeReader®

Locations

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Office Hours

Our Regular Schedule

Monday:

KENNESAW: 9:00 am - 1:00 pm

3:00 pm - 6:00 pm

Tuesday:

SMYRNA 9:00 am - 1:00 pm

3:00 pm - 6:00 pm

Wednesday:

KENNESAW: 9:00 am - 1:00 pm

Closed

Thursday:

SMYRNA 9:00 am - 1:00 pm

3:00 pm - 6:00 pm

Friday:

KENNESAW: 9:00 am - 1:00 pm

Saturday:

SMYRNA 9:00 am - 11:30 am

By Appointment Only

Sunday:

Closed

Testimonial

Review By Our Satisfied Patient

  • "Four years ago I fell and badly injured my shoulder resulting in a massive total rotator cuff tear and other various injuries. After more than a year of rehabilitation for my injuries, my orthopedist approved my return to chiropractic treatments with the admonition the my permanent rotator cuff injury be treated with care. As a result, I searched for a new chiropractor who would be able to help my injured shoulder as well as any other problems that developed.

    In 2009 I was blessed to find Dr. Erick Burke, DC, who has been able to help me with all the physical and medical problems that affect me from time to time. Dr. Burke is very knowledgeable and always willing to listen to my complaints and problems, ensures that I understand his instructions and provides me with any treatments that I need.

    I've been to seven or eight chiropractors during my life, Dr. Burke is by far the best chiropractor I've ever been to, and I am so blessed to have found him. I highly recommend Dr. Burke."
    NEC