Online Forms

Sunderland Chiropractic offers our patient form(s) online so they can be completed 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.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form


Download the Free Adobe Reader®

New patients receive a 4oz. bottle of Biofreeze after first visit. A $14 value!!!

Sign-up using the form or call us at 318-371-9979 to take advantage of this exclusive offer.

Office Hours

Our Regular Schedule

Monday:

8:00 am-12:00 pm

1:30 pm-5:30 pm

Tuesday:

8:00 am-12:00 pm

1:30 pm-5:30 pm

Wednesday:

8:00 am-12:00 pm

1:30 pm-5:30 pm

Thursday:

8:00 am-12:00 pm

1:30 pm-5:30 pm

Friday:

8:00 am-12:00 pm

1:30 pm-5:30 pm

Saturday:

Closed

Sunday:

Closed

Location

Find us on the map

Testimonials

Reviews By Our Satisfied Patients

  • "Super professional, knowledgeable, & caring. I definitely recommend Jason Sunderland to everyone that asks about a chiropractor. I drive a town over to see him even though there Is a different chiropractor 7 minutes from my house."
    Heather L. Minden, LA
  • "I am always greeted by a friendly staff member. It’s so nice to have a doctor that listens and doesn’t rush you in and out. He really cares about his patients!"
    Tommie Lea Thompson Clanton

Featured Articles

Read about interesting topics

Newsletter Sign Up

Sign up for more articles