Appointment Request

chiropractic is for everybody

Please view our office hours and then fill in the following form to request an appointment.
We have convenient day and evening hours and are located in West Cobb County across from Marietta High School
You will receive a confirmation call to verify, before the appointment can be scheduled.

First Name

Last Name

Phone Number

Email Address

Date and Hour for Requested Appointment (Please check our office hours)

Month

Day

Year

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

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

Please do not submit any Protected Health Information (PHI)

Contact Information

Braile Chiropractic

3515 Dallas Hwy, Suite 102
Marietta, GA 30064
770-693-0914
health@georgiachiropractic.com

Office Hours

Clinic Hours

Monday
Morning - 10am - 1pm
Afternoon 3pm - 6pm

Tuesday
Morning - 10am - 1pm
Afternoon 3pm - 6pm

Wednesday
Afternoon 3pm - 6pm

Thursday
Morning - 10am - 1pm
Afternoon 3pm - 6pm

Friday - Closed

Saturday - Closed

Our Location

3515 Dallas Hwy. Suite 102, Marietta, GA 30064
(next to The Avenue West Cobb)
770-693-0914