New Patient Paperwork

Alliance Chiropractic and Massage offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.
  • New Patient Health History Form

    Click to Download

  • HIPAA Form

    Click to Download

Additional Forms for Personal Injury Cases:

  • Automobile Accident Questionnaire

    Click to Download

  • Personal Injury Claim Information Sheet

    Click to Download

OFFICE HOURS


Monday
9:00am - 12:00pm
3:00pm - 6:30pm


Tuesday
9:00am - 12:00pm
3:00pm - 6:30pm


Wednesday
9:00am - 12:00pm


Thursday
9:00am - 12:00pm
3:00pm - 6:30pm


Friday
9:00am - 12:00pm


Saturday & Sunday
Closed

Late & Early Appointments Available Upon Request. We Look Forward To Seeing You!

Alliance Chiropractic and Massage

5720 Watauga Rd #100
Watauga, TX 76148

(817) 281-0008
Insurances Accepted Graphic