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Tucson Chiropractic Spine & Injury Center 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 Protocol for Records

Download & Print Form   Chiropractic Registration and History

Download & Print Form   Protocol for Preservation of Patient Records

Download & Print Form   Acknowledgement of Patient's Records Preservation

Download & Print Form   Vehicle Accident Information (if applicable)
 


Additional Patient Forms   (please print and complete the corresponding

                                               forms for your area of pain)

Download & Print Form   Neck Disability Index Questionnaire

Download & Print Form   Neck Bournemouth Questionnaire

Download & Print Form   Revised Oswestry Back Pain Disability Questionnaire

Download & Print Form   Back Bournemouth Questionnaire


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 Patients Receive FREE Consultation!

Sign-up using the form or call us at 520-797-4177
to take advantage of this exclusive offer.

*This offer is not valid if services are covered by any type of insurance.

THIS ---->https://alancrossdccom.chiromatrixbase.com/online-forms.html

Office Hours

Day
Monday10:00am5:00pm
Tuesday11:00am7:00pm
Wednesday11:00am7:00pm
Thursday11:00am7:00pm
Friday10:00am5:00pm
SaturdayBy Appt.By Appt.
SundayClosedClosed
Day
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
10:00am 11:00am 11:00am 11:00am 10:00am By Appt. Closed
5:00pm 7:00pm 7:00pm 7:00pm 5:00pm By Appt. Closed

Testimonial

Dr. Cross is by far the best Chiropractor I have ever been to. I am 55 and have been getting chiropractic care since my early 20s for my neck and upper back. I recently discovered I have an atlas subluxation and was so happy to discover Dr. Cross. In fact he is the only Doctor in Tucson using this technique. An upper cervical Chiropractor is called an Orthogonist. He is also a holistic Chiropractor treating all areas of the body including health and wellness. So don't walk...run to Doctor Cross for any aches or pains. He is a truly amazing empathetic and humble person and a phenomenal Doctor.

Cheryl P.
Tucson, AZ

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