HIPPA compliance and health information can be found at https://www.hhs.gov/hippa
If you have a back injury please fill out:
All new patients must fill out:
If you need medical records please fill out the form invoice:
If you would like to be Instagram and Facebook famous, or if you do not mind us using your photo for our website, please sign:
If you have a neck injury please fill out:
All United Healthcare patients must also fill out:
If you have an upper extremity injury: shoulder, elbow, wrist, hand, etc please fill out:
Call or Text: 832-515-8121
If you have a lower extremity injury: hip, knee, ankle, foot, etc please fill out:
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