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Lifetime Family Health Center, PLLC 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 (Adults) - 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!

Download & Print Form


Pediatric New Patient Health History Form (Children age 0-10) Required

This lets us know the history and current state of health as well as details of birth process and childhood.

Download & Print Form


New Automobile Injury Form

If you have recently been in a car accident please download and print this form as it will give the doctor specific information reguarding your car accident.

Download & Print Form


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



Download the Free AdobeReader®

New Patient Special

New Patient Special

ONLY $39 Initial Exam.
*First time Customers Only*

Sign-up using the form or call us at (817) 310-0301 to take advantage of this exclusive offer.

Massage Therapy

THIS ---->https://grapevinechirohealth.com/new-patient-center/online-forms.html

Office Hours

Day
Monday9:00am - 1:00pm3:00pm - 6:00pm
Tuesday9:00am - 1:00pm3:00pm - 6:00pm
WednesdayBy appointmentBy appointment
Thursday9:00am - 1:00pm3:00pm - 6:00pm
FridayBy appointmentBy appointment
Saturday9:00am - 12:00amClosed
SundayClosedClosed
Day
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:00am - 1:00pm 9:00am - 1:00pm By appointment 9:00am - 1:00pm By appointment 9:00am - 12:00am Closed
3:00pm - 6:00pm 3:00pm - 6:00pm By appointment 3:00pm - 6:00pm By appointment Closed Closed

Testimonial

I began seeing Dr. Harrison for treatment of my lower back, shoulder pain, fibromyalgia. Previously I had gone to physical therapy, exercise, and taken many medications which were only somewhat helpful, and the drugs didn't help at all. With Dr. Harrison I feel that we've made great progress in relieving most of my symptoms. My fibromyalgia and arthritis seem to be improved, my energy has improving and my fatigue has decreased.

Nancy L.

Grapevine, TX


 
Top 10 chiropractic clinics in Grapevine, TX 2015

A winner of the 2015 Patients' Choice Awards in Chiropractic - Grapevine, TX

Verified by
Opencare.com

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