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

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Welcome Form - Required

Download & Print Form

New Patient Health History Form - Required

Download & Print Form

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know! 

Informed Consent Form - Required

Download & Print Form

Consent to Treat a Minor Form - Required for patients under 18

Download & Print Form

Payment Policy Form - Required

Download & Print Form


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



Download the Free AdobeReader®

New patients receive an exam and an adjustment for $40 CASH. For more exclusive offers click on the Richardson Chiropractic Discount Specials tab above.

Office Hours

DayMorningAfternoon
Monday10:00 am8:00 pm
Tuesday10:00 am5:00 pm
Wednesday10:00 am8:00 pm
Thursday3:00 pm5:00 pm
FridayClosedClosed
SaturdayClosedClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
10:00 am 10:00 am 10:00 am 3:00 pm Closed Closed Closed
8:00 pm 5:00 pm 8:00 pm 5:00 pm Closed Closed Closed

What can we help you find?