Please complete the form to request an appointment. Please note you do not have an appointment until you receive confirmation from us.
Dr. Vicki Jordan
6303 Carmel rd. Suite 101
Charlotte, NC 28226
Charlotte Office Dr. Vicki Jordan
*PLEASE NOTE WE NEED YOUR PHONE SERVICE CARRIER SO WE CAN VERIFY YOUR APPONITMENT
A New Patient?*No Existing PatientYes I am new
Desired Apt. Time*MorningAfternoonA.S.A.P.
Office Location*Charlotte office Dr. Vicki JordanMint Hill office Dr. Doug Jordan
Service Desired*Chiropractic CareCorrective ExercisesMassage TherapyAcupunctureNutritional CounselingSpinal & Postural Screenings
Your Phone Carrier (For Verifying Apt.)*VerizonSpringMetroAT&TT mobleBoostCingularUS Cellular
1 + 7 = ? Please prove that you are human by solving the equation *
We strive to provide complete care for our patients. Learn more about all the services we provide.
Our patient forms are available online so they can be completed in the convenience of your own home or office.