Online Forms

  • Please check out the "Insurance" tab for more information on the insurance we accept. 
  • these forms are PDF and do not automatically  send to our office once you complete them
  • You're welcome to fill the forms out beforehand and email them to [email protected], or you can arrive 15 minutes early to fill them out in the office. If you are using insurance, and you are emailing your forms over, please also attach a picture of the front AND back of your insurance card.

New Patient Form - Required

This lets us know the history and current state of your health. 

Established Patient Form

We are required to have updated information once a year. This ensures we have all current contact and health insurance information.

Car Accident Paperwork

If your appointment is related to a car accident, please complete the Car Accident Paperwork AND the New Patient Paperwork. You must fill out before your visit and email back to [email protected] or print them and bring them with you. If you are unable to fill out and print/bring with you completed, you must arrive 30 MINUTES prior to your appointment time to fill out in the office.

Download the Free AdobeReader®

  • 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.
  • Email us your printed and completed forms or bring it with you to your appointment.


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Office Hours


9:00 am-12:00 pm

2:30 pm-6:00 pm


2:30 pm-6:00 pm


9:00 am-12:00 pm

2:30 pm-6:00 pm


2:30 pm-6:00 pm


9:00 am-12:00 pm






  • "I have seen many chiropractors since childhood, but Dr. Perriton is the best! We have been driving all the way from Allen to see him for several years. The office staff is wonderful and genuinely care about our health and well-being."
    Mallory B.