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​© 2019 by Epidemic

New Patients

Chiro & Acupuncture Inc. offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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.

 

We Accept Insurance!

We accept most of the in-network insurances for our services and some out of network plans have available benefits. Dr. Lee is also a Medicare provider and has helped many patients get on the right track towards a better health.  We will check your coverage and benefits upon your arrival to the initial treatment session. The coverage is dependent on the individual plans and does not guarantee payment.

Call us prior to your appointment and we'll help you figure out your benefits: 817-552-7246

New Patient Health History Form - **Required**

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!

 

 

 

Download the Free AdobeReader®