Thank You

Your Appointment Request Was Sent Successfully.

One of our medical representatives will be in touch with you shortly by phone or email.
In an attempt to provide a smooth and timely check-in, we are happy to offer our new patient form online.

Please feel free to download, print and fill out this form at your convenience before your visit.

NEW PATIENTS

New Patient Form

EXISTING PATIENTS

Back Pain Form

Neck Pain Form

Headache Form

Our forms are created using Adobe. Click Here to make sure you have the latest reader.

Our forms are created using Adobe. Click Here to make sure you have the latest reader.

Our Locations: Birmingham | Montgomery | Prattville

HealthStar Birmingham

3419 Colonnade Pkwy, Suite 500
Birmingham, AL 35243
Phone: (205) 407-1078

Email: [email protected]

Clinic Hours:
Monday-Friday:
9:00am-1:00pm & 3:00pm-6:00pm
Saturday:
9:00am-11:00am

HealthStar Montgomery

3283 Malcolm Dr.
Montgomery, AL 36116

Mailing Address:
PO Box 241467
Montgomery, AL 36124-1467

Phone: (334) 600-1159

Fax: (334) 356-9873

Email: [email protected]

Clinic Hours:
Monday-Friday:
9:00am-1:00pm & 3:00pm-6:00pm
Saturday:
9:00am-11:00am

HealthStar Prattville

2441 Cobbs Ford Rd.
Prattville, AL 36066

Mailing Address:
PO Box 241467
Montgomery, AL 36124-1467

Phone: (334) 600-1159

Fax: (334) 285-4243

Email: [email protected]

Clinic Hours:
Monday-Friday:
9:00am-1:00pm & 3:00pm-6:00pm
Saturday:
9:00am-11:00am