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Online Forms

Houston County Chiropractic 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.

New Patient Forms - 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 & Print Form

Health Survey

Download & Print Survey

Chiropractic Orientation Form

Download & Print Form


Download the Free AdobeReader®

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Testimonials

Reviews By Our Satisfied Patients

  • "Chiropractic care has improved my life 100%. I started feeling pain relief after just 1 visit. Chiropractic care REALLY works!"
    Gladys Johnson
  • "I have not had to take any medication in two weeks for pain. Mentally I have a sense of well being. I have more energy than I've had in the past two years!"
    Nancy H.
  • "Since I've started coming to Houston County Chiropractic, I've had a drastic change with the pain in my back. I feel a lot better and I'm able to get back to my everyday things."
    Renee K.