Fort Worth Chiropractic Clinic offers our New Patient Forms online for your convenience.

  • 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) at 817-924-0284, or bring them with you to your appointment.

New Patient Health History Forms - Required


Click here to Download & Print Forms 


Click here to Download the Free AdobeReader®

Location

Office Hours

Our Covid Schedule

Monday

8:30 am - 2:00 pm

Tuesday

11:00 am - 4:30 pm

Wednesday

8:30 am - 2:00 pm

Thursday

11:00 am - 4:30 pm

Friday

Closed

Saturday

Closed

Sunday

Closed

Monday
8:30 am - 2:00 pm
Tuesday
11:00 am - 4:30 pm
Wednesday
8:30 am - 2:00 pm
Thursday
11:00 am - 4:30 pm
Friday
Closed
Saturday
Closed
Sunday
Closed

Any purchase, Utilization, or reliance upon, by You of the Resources of our Company (“Adopting Company”), including without limit our Website(s) and Software Application(s), shall indicate Your agreement to the Terms and Conditions of our Legal Notice accessible herein by means of hyperlinked menu options. Each Location listed on the Adopting Company’s Website(s) is an Independent Licensee of Adopting Company. *Any reference to prices, discounts, and other financial terms are subject to the terms of our Model Financial Policy. Various “Best Practice” phrases (see, e.g., https://best-practices.us, https://injury.best-practices.us, https://system.best-practices.us) are trademarks of Proprietary Owner. All rights reserved.

TERMS AND CONDITIONS

Preamble  ●  Significant Terms
HIPAA Consent  ●  HIPAA Privacy
General Privacy
Electronic Communications
Conditional BAA
Legal Notice  ●  Legal Notice (PDF)
Resource Subscription Agreement (PDF)
STANDARDS

Commitment Statement
Best Injury Practice Standards – General
Best Injury Practice Standards – A/R Management Groups
Model Financial Policy