Patient Forms

Get a head start on your paperwork by filling out one of each of the following forms! If you'd like to wait and fill this information out before your appointment, it will be available to you upon arrival.

Entrance Application.pdf

Consent to Care.doc

Financial Agreement.doc

HIPAA.doc

Privacy Practices Notice.doc


The following form only pertains to those who are filing with Insurance: Assignment-of-Benefits.doc

Please select your area(s) of pain from the list below, and fill-out the pain questionnaire accordingly.

Neck & Upper Back.doc

Lower Back.doc

Middle Back.doc

Lower Extremity.doc

Upper Extremity.doc

Questions? Our associates are happy to assist, you can reach our office at (817)641-9700.

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Contact Us Today!

We look forward to hearing from you.

Our Location

201 N Ridgeway Dr | Cleburne, TX 76033

Office Hours

Our General Schedule

Monday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Tuesday:

2:00 pm-7:00 pm

Wednesday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Thursday:

9:00 am-12:00 pm

2:00 pm-7:00 pm

Friday:

9:00 am-12:00 pm

Saturday:

Closed

Sunday:

Closed