Back and Neck Pain Relief Center

Dr. James B. Fox
1710 West Third Street
Bloomington, Indiana 47404
(812) 336-2225

New Patient Forms

 

New patients are welcome to download our new patient forms and complete, this will save you time and you can be in the comfort of your own home. Please bring them with you to your first visit.

If you have been involved in an automobile collision please fill out both forms.

 

 

 

New Patient Forms

Auto Accident Paperwork 

 

 

 

 

 

 

Call 812-336-BACK 2225 for your appointment, we look forward to seeing you!