Hatfield Chiropractic & Rehab Center
(361) 358-2578
New patients are always welcome at Hatfield Chiropractic!
New Patient Forms must be completed to ensure you will receive the best care possible.
The following forms are provided for your convenience. By completing these forms ahead of
time, you will save time during your initial visit.
If you have trouble understanding any part of the forms, we will gladly answer any questions
when you come in.
These forms are available in PDF format. To download them, you will need the free
Adobe Acrobat Reader. If you do not have it, download it here.
If you have been involved in an accident, also complete the following form:
Bring the completed forms and your identification card with you to your first visit.
We appreciate the opportunity to serve you and your family.
This is for your information only:
This Privacy Notice is being provided to you as a requirement by Federal Law--The Health Insurance
Portability and Accountability Act (HIPAA)--efffective April 14, 2003.
New Patient Forms
