Health Revolution


A BOTW Pediatric & Family Chiropractic Practice
1816 S Main, Suite B3
Lindale, TX 75771
Office: 903-882-8845

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New Practice Member Forms

PDF version Adult and Adolescent form (ages 12 and above) MS WORD version

PDF version Pediatric form (Birth to 11 years) MS WORD version

Each packet should include: History, Informed Consent to Chiropractic Care, Patient Privacy, & Office Policies.

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Webpage update 07/09/2017