Online Admitting Paperwork

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


Intake Forms

This lets us know whats happened, but perhaps more important, where do you want to take your health?
 Download & Print Form

Symptom Survey

This form will help us to understand your current nutritional deficiencies. If your body is not getting what it needs, there is little chance for you to experience true health.

English
 Download & Print Form

Planilla de sondeo de sintomas
 Download & Print Form


Consent Form

Complete this form with any of the above intake forms.
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


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...

Will chiropractic adjustments make my spine too loose?
No. Only the spinal joints that are fixated and "locked up" receive attention. The occasional spinal joint that moves too much is passed over so weakened muscles and ligaments can strengthen and heal.
Can babies with colic be helped with chiropractic?
It's probably one of the times a parent feels the most helpless. But based on the research, chiropractic and colic relief appear to go hand in glove. With success rates in the mid-90% range, more and more Arlington parents are seeing a chiropractor. If you have a baby with colic learn how chiropractic may help.