DISC Chiropractic | Online Forms

We offer our paperwork on line so you can complete it in the convenience of your own home. 

Health History

This lets us know what’s happened, but perhaps more important, where do you want to take your health?

 Download & Print Form

 HIPAA

United Healthcare Patients

 Patient Health Questionnaire

 Patient Summary Form

 Neck Index

 Back Index

If you have any shoulder, elbow, hand, hip, knee or ankle problems please print off either Upper, Lower extremity or both.

 Upper Extremity Questionnaire

 Lower Extremity Questionnaire

If you have been involved in a Motor Vehicle Accident, please fill out the following form.

 Motor Vehicle Accident Questionaire

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Dr. Brandon Stephans | Phone: (972) 346-4501
117 West Broadway, Suite A, Prosper, TX
Quality chiropractic care for the Prosper, Celina and North Frisco areas.