New Patient Paperwork

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

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• 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), fill in the forms on your computer or print them out and fill in the required information by hand. Sign and date the forms after completing all the required sections.

• Email, fax or print your completed form(s) and bring them with you to your appointment.

*Required for Personal Injury (PI) Patients only. 

*Required for all United Healthcare Insurance Patients.

*Referral Form for Physicians, Attorneys & Dentists.