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Online Forms

HOUSTON CHIROCARE & REHAB offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.


New Patient Information/Health History Form - Required


This lets us know the basic patient information,  history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form 


Download the Free AdobeReader®

Office Hours

Our Regular Schedule

Monday:

9:00 am - 1: 00 pm

2:00 pm - 5:30 pm

Tuesday:

9:00 am - 1: 00 pm

2:00 pm - 5:30 pm

Wednesday:

9:00 am - 1: 00 pm

2:00 pm - 5:30 pm

Thursday:

9:00 am - 1: 00 pm

2:00 pm - 5:30 pm

Friday:

9:00 am - 1: 00 pm

2:00 pm - 5:30 pm

Saturday:

Appointment

Closed

Sunday:

Closed

Closed

Location

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