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Online Forms

Advanced Chiropractic Clinic 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 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!

New Patient Major Medical Forms


New Patient Auto Forms


New Patient Medicare Forms


New Patient Cash Forms


New Patient Worker's Comp Forms


HIPAA Privacy Practices Form

Fill Out Online



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Testimonials

Reviews By Our Satisfied Patients

  • "I have benefited tremendously from the chiropractic care I received from Dr. Carolyn D. Williams."
    Richard W. - Houston, TX