Accessibility View Close toolbar

Online Forms

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

  • 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 us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

If you are filing with your own health insurance, other than United Healthcare, you will need to fill out these forms:

General Forms

If you are a United Healthcare patient, you will need to fill out these forms:

United Healthcare Forms

If you are a personal injury patient whose been in an auto accident then you will need to fill out these forms:

Personal Injury Patients

Please download our New HIPAA Form below:

HIPAA Acknowledgement Form



Download the Free AdobeReader®

Location

Find us on the map

Office Hours

Our Regular Schedule

Garland Office

Monday:

8:00 am-6:00 pm

Tuesday:

8:00 am-5:15 pm

Wednesday:

8:00 am-4:15 pm

Thursday:

8:00 am-6:00 pm

Friday:

8:00 am-11:15 am

Saturday:

8:00 am-11:45 am

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "I've been to different doctors for my back over the years....but no more, I've found my home! Can't say enough good about Dr.Jones and her staff."
    Pam S
  • "This office is bustling with a great team, amazing atmosphere and excellent service."
    Tashee B.