New Patient Paperwork

Welcome to our online Patient Intake Form. The information you fill in will be sent directly to our office, speed up your office visit, and will help us to better serve your healthcare needs.

Please take a moment to completely fill out the form in the link below, and upon completion of all form categories click the Submit button at the bottom of the form and your information will be sent to our office. Thank you.

printerNew Patient Paperwork - Click Here to Access


Monday8:30am - 12:00pm
2:00pm - 5:00pm
Tuesday8:30am - 12:00pm
2:00pm - 6:00pm
Wednesday8:30am - 12:00pm
2:00pm - 5:00pm
Thursday8:30am - 12:00pm
2:00pm - 5:00pm
Friday8:30am - 11:30am
Chiropractic Jacksonville NC Office Logo

Freedom Chiropractic
445 Western Boulevard Suite O
Jacksonville, NC 28546
(910) 238-2330

Recommended Chiropractor


“They really do have your best health and interest at heart. I recommend Freedom Chiropractic to anyone that I talk to!”

- R.R.

“I had severe pain and swelling in my left leg that I had been dealing with for about 24 months. My primary doctor referred me to a back surgeon. I am pain free when walking and the swelling is gone!”

- J.C.

“I have suffered with degenerative disk disease for 7 years. I no longer have the tingling and numbness! I recommend Freedom Chiropractic to anyone!
- T.L.

Recommended Chiropractor - White

445 Western Boulevard Suite O

Jacksonville, NC 28546