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Victory Chiropractic

200 E. Southlake Blvd., Suite 20

Southlake, TX 76092

817-251-6767

817-251-6868

Online Forms

Victory Chiropractic offers our patient form(s) online so they can be completed it in the convenience of your own home or 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.

New Patient Health History Form - Required

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. Please have your drivers license and insurance card (if applicable) ready for us to copy.

https://www.mychirotouch.com/patientintake/?clientid=VCS0003



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Location

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Office Hours

Our Regular Schedule

Monday:

8:00 am-1:00 pm

3:00 pm-6:00 pm

Tuesday:

8:00 am-12:00 pm

Closed

Wednesday:

8:00 am-1:00 pm

3:00 pm-6:00 pm

Thursday:

9:00 am-11:00 am

3:00 pm-6:00 pm

Friday:

8:00 am-12:00 pm

Closed

Saturday:

Closed

Sunday:

Closed