New Patient Paperwork

Affordable Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.
  • (Edit as Needed PDF Form) New Patient Registration Form

    Click to Download

  • (Edit as Needed PDF Form) New Female Patient Registration Form

    Click to Download

  • (Edit as Needed PDF Form) New Male Patient Registration Form

    Click to Download

  • (Edit as Needed PDF Form) Pediatric Patient Registration Form

    Click to Download

  • (Edit as Needed PDF Form) Auto Injury Patient Paperwork

    Click to Download

  • (Edit as Needed Online Form) Review of Symptoms

    Click to Complete

  • (Edit as Needed Online Form) Patient History

    Click to Complete

Monday
Closed


Tuesday
9:30am - 12:30pm
2:30pm - 5:30pm


Wednesday
Closed


Thursday
9:30am - 12:30pm
2:30pm - 5:30pm


Friday
Closed


Saturday
9:30am - 12:30pm


Sunday
Closed


Walk-Ins Welcome

Affordable Chiropractic

915 Huckleberry St
El Paso, TX 79903

(915) 493-0517