FORMS

Patient Forms

For your convenience, you may print and complete these forms prior to your visit.

• Patient Registration | DOWNLOAD
• Rights and Responsibilities | DOWNLOAD
• Rights and Responsibilities (Copy) | DOWNLOAD
• Release Form | DOWNLOAD
• Health Questionnaire | DOWNLOAD
• Consent Form | DOWNLOAD
• Cupping Consent | DOWNLOAD
• Dry Needle Consent Form | DOWNLOAD
• HIPAA Release Form | DOWNLOAD

Physician Use

Patient Referral| Download

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Address

2363 Hwy 287 N Ste 205 Mansfield TX 76063

P) 817-592-3021

F) 888-557-1669

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Dallas

Dallas . Desoto. Mansfield. Oak Cliff. Fort Worth. Glenn Heights. Arlington. See all cites in DFW Area

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