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.

Patient Intake.pdf

Consent to Care.pdf

Financial Agreement.pdf

HIPAA.pdf

Privacy Practices.pdf


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

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

Neck and Upper Back.pdf

Low Back.pdf

Middle Back.pdf

Upper Extremity.pdf

Lower Extremity.pdf

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