Katy Lifestyle Chiropractic

Patient Intake Form

Welcome to our online Patient Intake Form. The information you fill in will be sent directly to our office, speeding up your office visit and allowing us to better serve your healthcare needs. These forms work ONLY on Windows computers and IPAD. If you are unable to complete the online forms, please arrive 30 minutes prior to your appointment to fill these out in our office. IMPORTANT: If you have complaints of two or more areas of the body, you will be prompted to answer questions on each area separately.

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