Patient Forms

ADAMS CHIROPRACTIC HEALTH CENTER 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®

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Please call 972-596-1611

Or contact us via email form below

We will contact you within one business day.

Adams Health Center

Been coming for years. I really feel better after an adjustment.

— Linny M.