Downloadable Forms

Please download the appropriate forms below and complete them prior to your appointment if you would like to save time in the office.

HIPAA Assignment Release

Click filename below to access file

HIPAA_Assignment_Release.doc

Chiropractic Case History

Click filename below to access file

Chiropractic_Case_History.doc

Terms of Acceptance

Click filename below to access file

Life_Force_Chiropractic_Terms_of_Acceptance.doc

HIPAA - (espanol)

Click filename below to access file

spanishHIPAA.doc

Chiropractic History - (espanol)

Click filename below to access file

chiropractichistory_spanish.doc

Terms of Acceptance - (espanol)

Click filename below to access file

terms_of_acceptance_sp.doc

Assignment of Benefits and Informed Consent - (espanol)

Click filename below to access file

assignment_of_benefits_and_informed_consent_spanish.doc

Auto Accident Form

Click filename below to access file

Accident.doc

Auto Accident Form - (espanol)

Click filename below to access file

Accidentsp.doc

Chiropractor in Austin, TX - 500 W Johanna St. Austin, TX 78704 - (512) 916-4325 - Email Us