Dallas Texas Chiropractors

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ACCIDENT CENTERS OF TEXAS

New Patient PaperWork

We offer our patient forms online so they can be completed before your first appointment.

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!

  • 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.
  • Fax us your printed and completed form(s) or bring with you to your appointment.

EMPLOYMENT / ADL / RECREATION

CONSENT TO TREAT

FACILITY LIEN

HEALTH HISTORY

HIPPA CONSENT FORM

MEDICAL RECORDS RELEASE

PATIENT DEMOGRAPHICS

PERSONAL INJURY HISTORY

INSURANCE INFORMATION

Get Your Lifestyle Back

Don't let an injury slow you down.
Our outstanding team is here to help you reach your healthcare goals.

Call (214) 329-1967 to ACT NOW!

Injury Clinic in Dallas

Corporate Office

Dallas Office

Pleasant Grove Office

Oak Cliff Office

Garland Office

Irving Office

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CHIRO

your number one choice in Dallas-Fort Worth to help you after an accident or injury

Accident Centers of Texas

Corporate Office:
1230 River Bend Dr #210
Dallas, TX 75247
(214) 974-4041
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