WARNING

You are using an outdated browser. Please upgrade your browser to improve your experience.

Close [x]

Download & Print Form - English

North Lamar Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office. Please note that we offer our Patient History and Physical Examination Form in both Spanish and English.

  • 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.

Patient Health History and Pre- Employment Physical Exam Form - Required

This lets us know the history and current state of your health. Please complete this form before your pre-employment physical examination. 

Download & Print Form - English

Download & Print Form - Spanish


Patient Health History and Camp Physical Exam Form - Required

This lets us know the history and current state of your health. Please complete this form before your pre-employment physical examination. 

Download & Print Form - English

Download & Print Form - Spanish


POC Drug / Alcohol Results

In order to streamline the process, please print and bring this form to your visit for drug testing services.You can complete sections one and two prior to your visit.

Download & Print Form


New Patient Sign-Up Information Sheet

Please fill out this application to add employees into a list of random pulls for drug/alcohol testing. Complete the form in its entirety and enclose a list of all employees to be included with all the required information. 

Download & Print Form - English

Download & Print Form - Spanish


Drug Consortium Sign-Up Sheet

Download & Print Form - English

Download & Print Form - Spanish 



Download the Free AdobeReader®

Welcome new patients!

THIS ---->https://austinbackcom.chiromatrixbase.com/new-patient-center/online-forms.html

Office Hours

Day9am6pm
Monday9am6pm
Tuesday9am6pm
Wednesday9am6pm
Thursday9am6pm
Friday9am6pm
SaturdayClosedClosed
SundayClosedClosed
Day 9am 6pm
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9am 9am 9am 9am 9am Closed Closed
6pm 6pm 6pm 6pm 6pm Closed Closed

Newsletter Sign Up