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New Patient Forms

Roberts Chiropractic offers our patient form(s) online so they can be completed 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) at 817-594-7676 or bring it with you to your appointment.
  • If you are insured by United Healthcare and advised by the staff to fill out an United Healthcare Submission form, please download and fill out the three forms below in addition to your New Patient forms. 

New Patient Form

Download and Print Forms


Download the Free AdobeReader®

United Health Care form 1

United Health Care form 2

United Health Care form 3

United Health Care form 4