If you need a more accessible version of this website, click this button on the right. Switch to Accessible Site


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

Close [x]
214-361-9355 H


Online Forms

Back to Health Chiropractic now offers our patients an online patient intake link to be completed in the convenience of your own home or office prior to your appointment.

Please note that this information must be filled out and submitted before your scheduled appointment.  Failure to do so will result in the rescheduling of your appointment. Please call our office if for any reason you have trouble completing your intake before you scheduled appointment.

For IPads, use your finger to sign and submit.

For laptops and desktops use your mouse to sign and submit.

You will not be able to complete this intake with any smartphone device.

Please click the link below to begin and complete your New Patient Intake:


Connect With Us!




Office Hours

Monday9 AM - 1 PM3 PM - 6 PM
TuesdayClosed3 PM - 6 PM
Wednesday9 AM - 1 PM3 PM - 6 PM
Thursday9 AM - 1 PM3 PM - 6 PM
Friday9 AM - 1 PMClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9 AM - 1 PM Closed 9 AM - 1 PM 9 AM - 1 PM 9 AM - 1 PM Closed Closed
3 PM - 6 PM 3 PM - 6 PM 3 PM - 6 PM 3 PM - 6 PM Closed Closed Closed