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Primary Location

3501 Midway Rd Suite 250

Plano, TX 75093 US

(972) 403-1717

(866) 833-6085

Online Forms

A.K. Chiropractic, Inc. offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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!


  1. Download & Print Form

Allergy Form:    Optional

  1. Download & Print Form

Nutrition Forms:    Optional

  1. Download & Print Patient Intake Form
  2. Download & Print Dental History Form
  3. Download & Print Permission Form
  4. Download & Print Symptom Form
  5. Download & Print Trauma History Form

Download the Free AdobeReader®

CONTACT US TODAY

We look forward to hearing from you

Locations

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Office Hours

Our Regular Schedule

Monday:

9:00 am-1:00 pm

2:00 pm-6:00 pm

Tuesday:

Closed

Wednesday:

9:00 am-1:00 pm

2:00 pm-7:00 pm

Thursday:

9:00 am-1:00 pm

2:00 pm-7:00 pm

Friday:

9:00 am-1:00 pm

Saturday:

Closed

Sunday:

Closed