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


Consent Form

All patients must complete this form.


Download & Print Form


Automobile Accident

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







 Download & Print Form



Free AdobeReaderŽ

Each form is a PDF document file.  If you do not already have AdobeReaderŽ installed on your computer, click the AdobeŽ image to download for free.


















Dr. Jerrod Edwards | 2810 South Cooper Street, Arlington, TX | (817) 467-9233

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

Why does chiropractic work?
Chiropractic works because your nervous system, consisting of your brain, spinal cord and all the nerves of your body, controls and regulates every cell, tissue, organ and system of your body. A chiropractor locates and reduces areas of nervous system compromise (usually along the spine) so your capacity to heal is restored. Chiropractic works by helping your body work as it was designed.
Why do so many drugs require a prescription?
Because they can be dangerous? I chose a chiropractic career specifically because it avoids artificial means of pain relief. Our Arlington chiropractic practice attracts health-conscious families that prefer a safe and natural solution. Ready to get started? Call our office today.