Professional Clinic
Patient Forms
Click on each page to download each form. Privacy Policy and Agreement to Arbitration are for your records and do not need to be completed or brought to the clinic. If you have problems downloading forms, please call clinic receptionist, we will be happy to fax them to you. New patient paperwork not available online for chiropractic or rolfing.
Notice of Privacy Policy view only (no need to print)
Agreement to Arbitration
Clinic Policies and Procedures (color printer required)
Notification of an MD
HIPAA Acknowledgement Reminders
Informed Consent
Patient Health Intake
Professional Clinic
2700 West Anderson Lane, #204
Tel: (512) 467-0370
Toll free: (800) 824-9987, ext. 202
Email:
Student Clinic – Main Campus
2700 West Anderson Lane, #304
Tel: (512) 371-3738
Toll free: (800) 824-9987, ext. 223
Email:
Student Clinic – South Congress
1902 South Congress
Tel: (512) 693-4373
Email: