Arlington Chiropractic & Acupuncture
Arlington Chiropractic & Acupuncture
  • Home
  • Our Team
  • Our Services
    • Chiropractic
    • Massage Therapy
    • Custom Orthotics
    • Spinal Decompression
    • Peak Medical Group
  • NutriDyn
  • Blog
  • Contact Us
  • New Patient Forms
  • More
    • Home
    • Our Team
    • Our Services
      • Chiropractic
      • Massage Therapy
      • Custom Orthotics
      • Spinal Decompression
      • Peak Medical Group
    • NutriDyn
    • Blog
    • Contact Us
    • New Patient Forms
  • Home
  • Our Team
  • Our Services
    • Chiropractic
    • Massage Therapy
    • Custom Orthotics
    • Spinal Decompression
    • Peak Medical Group
  • NutriDyn
  • Blog
  • Contact Us
  • New Patient Forms

Patient Forms

Please print and fill out forms prior to initial visit. Click on a file to download. 

[We have them at our office as well, so if you'd rather wait to fill it out, please arrive 10 minutes prior to appointment to allow for this paperwork.] 

Thank you!

Patient Intake Form (pdf)Download
Massage Intake Form (pdf)Download
Use and Disclosure of Protected Health Information Policy (pdf)Download
Notice of Rights to a Good Faith Estimate (pdf)Download
Patient Rights and Responsibilities (pdf)Download
Notice of Non-Discrimination Language Assistance (pdf)Download

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