Four Points Family Chiropractic offers our patient form(s) online so they can be completed it in the convenience of your own home or office and you time when you come to your appointment.

• 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 (512-345-9357) your printed and completed form(s) or bring it with you to your appointment.

New Adult Patient (13yoa+) Intake Forms - Required

Download & Print Form

Functional Rating Index

New Pediatric Patient (0-12yoa) Intake Forms - Required

Download & Print Form

Functional Rating Index

HIPAA Form- Required

Download & Print Form

Terms of Acceptance Form - Required

Download & Print Form

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