Online Forms

Save time on your initial visit by downloading your patient forms online!

You must have Adobe Acrobat to view the forms, if not simply download Acrobat with the link provided below. After the download completes, just open the file, print out the forms, fill them out, and bring them with you, fully completed, to your first appointment. All your information remains private within our office.

 Download New Chiropractic Patient Forms (To be completed prior to initial visit with Dr. Jackie)

 Download Auto Accident Injury Forms (To be completed in addition to "New Chiropractic Patient Forms" if your visit is due to a recent injury in an automobile accident)

 Download Child Health Profile & Permissions Form (To be completed by parent or guardian prior to initial visit with Dr. Jackie)

 


Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.

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Dr. Jackie Asks some important questions of interest to Houston residents - Chiropractor Houston Dr. Jackie Asks...

What can a chiropractor do for asthma?
Many people think of chiropractic as exclusively dealing with the spine. But I'm interested in the spine because it covers the nervous system. Problems in the spine can produce problems in the organs and tissues controlled by the affected nerves—including those to the lungs and bronchial tubes. Find out how chiropractic care has helped those with asthma.
Are chiropractors just concerned with the spine?
Our interest in the spine is because it covers the major communications conduit between your brain and your body. As a Houston chiropractor my job is to locate areas (usually along the spine) that interfere with proper nerve communications to and from your brain. Chiropractic adjustments help restore nervous system integrity. In this way, chiropractic care can affect the function of your entire body.