“The doctor of the future will give no medicine, but will interest his patients in the care of the human frame, in diet, and in the cause and prevention of disease.”
-Thomas Edison
CHIROPRACTIC HEALTHCARE CENTER
Dr. Curtis W. Dearmont, DC
618 Broadway, St., Marble Falls, TX 78654
Call TODAY! For A Free Consultation 830-201-4470
DOWNLOADS
- FORMS -
NEW PATIENT INTAKE FORM - All new patients must fill out one of the "New Patient" forms list below. Choose the New Patient Form that best fits your health care needs and DOWNLOAD IT NOW. This way you can take your time and fill it out at home, then bring it with you on your first visit.
CLICK ON THE PDF BUTTON TO DOWNLOAD.
NEW PATIENT FORM: If Your Complaints Are Associated to Headaches, Neck Pains, Shoulder Pains, Mid-Back or Rib Pains, Lower Back Pains, Hip & Leg Pains or Other Body Pains.
KIDS - NEW PATIENT FORM: If Your Child Is Becoming A Patient.
Medical Records Request - Would you like to get a copy of your medical records from our office? What you need to do is fill out a "Records Release Form" with a copy of your driver's license and we will get those records for you. After you fill out the form and return it to our office, it will take (3) business days and we will have them ready for you. You can pick the copies of your records up or we can fax them to you and/or your choice of provider at NO charge. If you want the records mailed to you or another facility, it will add additional time for your copies to be delivered.
CLICK ON THE PDF BUTTON TO DOWNLOAD.