WARNING

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

Close [x]

Butler Chiropractic Clinic offers our patient form(s) online so you can complete 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

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

Download & Print Form


Auto Accident Patient Health History Form

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

Download & Print Form


Download the Free AdobeReader®

Exclusive Offers

Butler_Chiropractic_Special_Graphic01a.png

New patients save on the first visit.

No insurance? No problem. Call us at 972-221-7533 to take advantage of this exclusive online offer.

Office Hours

DayMorningAfternoon
Monday9:30 AM6:00 PM
Tuesday9:30 AM6:30 PM
Wednesday9:30 AM6:00 PM
Thursday9:30 AM6:30 PM
FridayClosedClosed
SaturdayClosedClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:30 AM 9:30 AM 9:30 AM 9:30 AM Closed Closed Closed
6:00 PM 6:30 PM 6:00 PM 6:30 PM Closed Closed Closed