Welcome to Innate Chiropractic Healing Arts Center
To make things really efficient for you please fill out your New Patient History & Consent Forms in advance. If you have any questions or need assistance you can reach us directly at (713) 521-2104.
Online Intake Forms
Downloadable Forms
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 ahead of time, to your first appointment. All your information remains private within our office.
Download Child Health Profile & Permissions Form
(To be completed by parent or guardian prior to initial visit with Dr. Jackie)
Download New Pregnancy Patient Forms
(To be completed prior to initial visit with Dr. Jackie)
Download Notice of Privacy Practices
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.
