New Patient Forms & Questionnaires
Dear Prospective New Patient,
Thank you for coming to our website to prepare for your initial office visit. Please find below, several categories of patients, and their unique forms to complete prior to seeing the doctor.
We ask that ALL new patients complete the initial "Health History Questionnaire".
Then, browse through the other categories, and complete and sign the appropriate forms.
If you have any questions, please call us at 806-796-0098.
Intake Forms
All New Patients:
If you have Regular Medical Insurance:
If you have Medicare:
Acupuncture Patients:
Chiropractic Patients:
Symptoms Forms
If you are having any symptoms, please fill out the first form, the Quadruple Visual Analog Scale (QVAS).
Then choose from the selected body parts below and complete the appropriate form(s).
All New Patients:
Then choose the most appropriate for you: