Health Revolution


A BOTW Pediatric & Family Chiropractic Practice
Text us at 214-986-3386
email us at

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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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2018 All Rights Reserved. Last update 2018 April 02