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Thank you for choosing Allen Chiropractic Care!

Please complete the attached forms and be sure to bring them with you the day of your appointment or, if you prefer, complete and return via fax (276-466-2214).

These forms are designed to allow you to print them and complete them by hand.

Please come to your appointment prepared with the following items:

     *  Completed Registration Paperwork

     *  Insurance Card (s) or Proof of Insurance

     *  Photo Identification

     *  All medical records pertaining to the body part for which you are being evaluated

        (MRI, x-ray, clinic notes, etc).

     *  A list of all medications that you are currently taking

Thank you and please feel free to contact us directly with any questions.  We look forward to seeing you!

Allen Chiropractic Care

Information

Insurance

Disclosure of Medical Information

Financial Policy

Acknowledgement of Receipt of Notice

Health Insurance Election

Release of Medical Records

Notice of Privacy Practices

Update Patient Information

Pain and Problem Questionnaire

THIS ---->https://backdrs.net/new-patient-center/new-patient-forms.html

Office Hours

DayMorningAfternoon
Monday7:30am - 12:00pm2:00pm - 6:00pm
Tuesday7:30am - 12:00pm2:00pm - 6:00pm
Wednesday8:00am12:00pm (staff only)
Thursday7:30 - 12:00pm2:00pm - 6:00pm
Friday7:30am12:00pm
SaturdayClosedClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
7:30am - 12:00pm 7:30am - 12:00pm 8:00am 7:30 - 12:00pm 7:30am Closed Closed
2:00pm - 6:00pm 2:00pm - 6:00pm 12:00pm (staff only) 2:00pm - 6:00pm 12:00pm Closed Closed

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