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New Patient Paperwork

Below you will find links to our online patient paperwork, or ‘Patient Intake Forms’. These are simple electronic forms we make available here to save you time on your initial visit. When you click the links below, you will be taken to another tab where you can enter all of your information for us to see, prior to your first visit. After filling out the online forms, call our office to arrange your first visit at 512-321-9200, or schedule it here.

ADULT

Patient Intake Form

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CHILD
Pediatric Intake Form


Adjust Chiropractic | 807 Main St | Bastrop | TX | 78602