Welcome to Hands On Health Chiropractic Skip to content

New Patient Forms

We offer our new patient forms online so you can download and complete these forms in the convenience of your home prior to your first appointment. Please call us if you have any questions. (817) 421-4775

All New Patients Must Print and Sign the following:

pdf iconNew Patient Registration Paperwork
(Please print, complete, sign and bring with you to your first visit)

pdf iconNew Patient Consultation Form
(Please print, complete, sign and bring with you to your first visit)

pdf iconConsent for Treatment
(Please print, complete, sign and bring with you to your first visit)

pdf iconX-ray Consent
(Please print, complete, sign and bring with you to your first visit)

pdf iconOffice Insurance Policy
(Please print, complete, sign and bring with you to your first visit)

pdf iconHIPAA Acknowledgement
(Please print, complete, sign and bring with you to your first visit)

pdf iconReceipt of HIPPA Notice
(Please read)


pdf iconAuto Accident Paperwork (Please print, complete, sign and bring with you to your first visit)


Free AdobeReader®

Get adobe readerEach form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.