We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.


Health History and Future

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?
  Download & Print Form


Child New Patient Paperwork

Same as above, but for kids!
  Download & Print Form


Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.

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Dr. Jason  Asks some important questions of interest to Irving residents - Chiropractor Irving Dr. Jason Asks...

Can subluxations clear up on their own?
Sometimes. Today's hectic lifestyles can be a constant source of subluxations. Fortunately, our bodies have the ability to self-correct many of these minor problems as we bend and stretch, or when we sleep at night. When subluxations don't resolve, you need to see our Irving office for chiropractic care!
Can chiropractic cure a child's ear infections?
Chiropractic isn't a cure for anything. Nor is it a treatment for ear infections. However, many children who suffer with ear infections also suffer from spinal problems in their neck, compromising nerves to the ear, depressing the immune system and preventing proper drainage. Can chiropractic help? Find out!