Call Today: 713-526-1212

Visit our Main Location
3033 Fannin St
Give us a Call
713-526-1212
Send us a Message
info@houstonmedicalgroup.org
Opening Hours
Mon - Friday: 9AM - 7PM

Patient Forms

Houston Medical Group offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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.

Patient Intake Form

This lets 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


Patient Intake Form 2

Download & Print Form


Request to Access Health Records

Download & Print Form


Notice of Privacy Practices

Download & Print Form