Request an Appointment

Rubin Family Chiropractic
255 Village Parkway Suite 620
Marietta, GA 30067
770-937-6300
info@theadjustment.com
*Indicates a Required Field

Please view our office hours and then fill in the following form to request an appointment. You will receive a confirmation call to verify, before any appointment is scheduled.

*First Name
*Last Name
*Phone
format: XXX-XXX-XXXX
*Email Address


Date and Hour for Requested Appointment

*Select Hour *AM/PM

*Please tell us if you are a current patient, or are requesting to become a new patient.
I am a current patient at your office
I am looking to make an appointment to become a new patient


Optional Short Comments or Message

For verification purposes, please type in the numbers and letters that you see below then press the Send Request button.

NOTE: You do not have a scheduled appointment until we can call you and verify this appointment request.

               

Monday, Wednesday & Friday

9 am - 12:30 pm

and

3 pm - 6:30 pm

Call us at 770-937-6300

Save Money- see our internet special discount coupons (click on New Patient Center above, and go to new patient forms) 

20 YEARS EXPERIENCE, BOARD CERTIFIED PEDIATRIC CHIROPRACTOR, CERTIFIED WEBSTER TECHNIQUE, CERTIFIED SPORTS CHIROPRACTOR, ADVANCED ACTIVATOR PROFICIENCY RATED

Invest In Your Health (and the health of your family)- Start Getting Adjusted, Today!!! 

Ask About Our Family & Individual Plans...Making Chiropractic Care Affordable!!! 

New Office Address: 255 Village Parkway, Suite 620

Marietta, GA 30067

770-937-6300

just around the back from our old office