Patient Forms

Consent to use PHI (pdf)

Notice of Patient Privacy Policy (pdf)

Personal Injury Forms (pdf)

New Nutritional Patient Forms (pdf)

Food Testing Intake Form (pdf)

Massage Intake Form (pdf)

Massage Cancellation Policy (pdf)

XRAY Consent form (pdf)

New Patient Chiropractic Form

Client Intake Form Cupping Draft (pdf)

Cupping Preparation and Aftercare (pdf)

Cupping Release Form (pdf)

3622 Williams Drive, Bldg 5, Georgetown, TX 78628