Monday to Friday: 9am - 6pm, Saturday: 9am - 1pm
   (972) 805-8864

Dallas Chiropractic & Medical Clinic Patient Forms

Patient Forms

Dallas chiropractic clinic Posture Perfect Wellness Center offers our chiropractic patient form(s) online so you can complete it in the convenience of your own home or office.

  1. If you do not already have AdobeReader installed on your computer, download the free AdobeReader.
  2. Download the necessary form(s), print it out and fill in the required information.
  3. Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form – Required

This let’s us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print: Patient Form


Auto Accident Patient Form

Download & Print: Auto Accident Patient Form


Workers Compensation Patient Form

Download & Print: Workers Compensation Patient Form


Get Started

Learn more by contacting Dallas Chiropractor Dr. Yaron Lohr at (972) 805-8864.


Get the Care You Deserve! Call (972) 805-8864 Today!

Clinic specialties include chiropractic, medical pain treatment, nutrition counseling, personal training, physical therapy (physiotherapy) and wellness programs – in one convenient location! New patients are welcome, so call (972) 805-8864 to schedule an appointment at our clinic and get on the path to better health and wellness!

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