ƒOnline Admitting Paperwork

We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.


Intake Forms

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?
 Download & Print Form

Sympton Survey

English
 Download & Print Form

Planilla de sondeo de sintomas
 Download & Print Form


Automobile Accident

If your health issue is the result of a car accident, we need some additional information.
 Download & Print Form


Worker’s Compensation

If your health issue is the effect of an injury at work, this information will help us help you.
 Download & Print Form


Consent Form

Complete this form with any of the above intake forms.
 Download & Print Form


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. Edwards Asks some important questions of interest to Arlington residents - Chiropractor Arlington Dr. Edwards Asks...

Can chiropractic relieve PMS?
If you have subluxations, especially in the lower spine that impair nerves that direct and monitor the reproductive and hormonal systems, chiropractic could be helpful. Undetected subluxations may also be responsible for pelvic pain, incontinence, sexual dysfunction and even infertility. Maybe chiropractic can help. Find out!
What's a side effect?
It may sound like a bonus; something extra, but chiropractors know it should more accurately called an "unintended effect," and "unwanted effect" or in some cases an "adverse effect." A pill can't come close to matching your body's ability to create and deliver the essential compounds it needs. That's when it's important to make sure your nervous system is working correctly—the purpose of chiropractic care!