New Patient Paperwork

Cross Timbers Chiropractic 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 Form
Complete paperwork for all new patients age 13 and up - Click to Download
Pediatric New Patient Form
Complete paperwork for patients age 0-12 - Click to Download
Personal Injury Form
If you have been involved in an auto accident and are coming into the office regarding your personal injury case - Click to Download
Minor Consent Form
Extra form if the new patient is a minor (under the age of 18) - Click to Download