New Patient Intake Paperwork

Download, print, and bring with you — it saves about 20 minutes at your first visit.

Adult Intake Forms

Ages 10 and Up

For new adult patients and children age 10 and older. Includes health history, consent, and insurance information.

PDF file

Pediatric Intake Forms

Under Age 10

For kids under 10 years old. Designed with pediatric care in mind — simpler questions for little ones, completed by a parent.

Download

PDF file

Auto Accident Forms

Personal Injury

For patients seeking care following an auto accident or personal injury. Includes accident details, insurance, and treatment consent.

Download

PDF file

Not sure which form to use? Give us a call at (972) 818-5820 and we’ll help you choose. Don’t have a printer? No problem — we’ll have copies ready at the office when you arrive.

What’s Next

Three Simple Steps

Once you’ve downloaded the right form, here’s what to do before your visit.

Download

Choose the form above that matches your age group and save it to your device.

Fill Out

Print the form and complete it at home. Take your time — we want every answer you can give us.

Bring With You

Bring the completed form to your first visit. Arrive about 10 minutes early and we’ll take it from there.

See the Full First-Visit Walkthrough

The Restoration Chiropractic team in Prosper, TX

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