Online Forms

Jernigan Chiropractic Clinic offers our patient form(s) online so you can complete 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.

Download and Print Forms

New patients receive 15% OFF first visit.

Office Hours

Monday:

8:00 am-12:00 pm

2:00 pm-5:00 pm

Tuesday:

8:00 am-12:00 pm

2:00 pm-5:00 pm

Wednesday:

8:00 am-12:00 pm

2:00 pm-5:00 pm

Thursday:

8:00 am-12:00 pm

2:00 pm-5:00 pm

Friday:

8:00 am-12:00 pm

2:00 pm-5:00 pm

Saturday:

Closed

Sunday:

Closed

Locations

Reviews

  • "I was in an accident several years ago. It led to chronic neck and low back pain and I had headaches every day. Dr. Jernigan helped me get out of pain and stay out of pain"
    M. Smith / Gulfport, MS

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