Patient Forms & New Patient Information
Whether you're visiting us for an auto accident injury, spinal decompression consultation, neck pain, back pain, sciatica, or routine chiropractic care, we're committed to providing a smooth and stress-free experience from your very first visit.
Complete Your Forms Before Your Visit
Please select the option below that best describes the reason for your visit. Completing this information prior to your appointment allows us to streamline your check-in and get you out of the waiting room and into the doctor's office faster.
Auto Accident & Personal Injury
Choose this form if: You have been involved in a motor vehicle collision, a motorcycle accident, or are seeking treatment related to a personal injury claim.
What we will ask: Details about the date of your accident, the type of collision, specific injuries (like whiplash), and any relevant insurance or attorney information so we can properly document your care.
General Health & Pain Relief
Choose this form if: You are seeking relief from chronic back or neck pain, sciatica, a sports injury, or are interested in Spinal Decompression Therapy.
What we will ask: Details about your primary symptoms, your health history, your daily wellness habits, and your specific goals for pain relief and recovery.
What to Expect During Your First Visit
Personalized Care from Day One
Secure Submission
Your information is encrypted, sent directly to our secure system, and reviewed by Dr. Cazares and our clinical team.
Evaluation
During your first visit, we will use these forms as a baseline to discuss your symptoms, perform a thorough examination, and identify the root cause of your pain.
Personalized Care Plan
We will design a customized treatment approach to get you out of pain and back to doing what you love.
Having trouble with the forms?
Don't worry! If you have any questions or prefer to fill these out in person, please arrive 15 minutes early to your appointment, and our front desk team will gladly assist you. You can also call or text us at (915) 217-0193 (Central) or (915) 231-6814 (Cashew) for immediate help.
Why Choose RC Chiropractic?
Patient-Focused Care in El Paso, TX
At RC Chiropractic, we combine over 20 years of experience with modern technology and personalized care to create a better patient experience.
Over 20 Years of Experience
Convenient Online Forms
Digital Check-In Process
Personalized Treatment Plans
Auto Accident Injury Expertise
Friendly and Caring Staff
Convenient Scheduling Options
Frequently Asked Questions
Do I need to complete my forms before my appointment?
We highly recommend completing your forms online before your visit to save time and improve your overall experience.
What if I can't complete the forms online?
No problem. Our team can assist you in completing your forms when you arrive at the office.
Are my forms secure?
Yes. Your information is submitted through secure systems designed to protect your privacy.
What should I bring to my appointment?
Please bring:
- Photo ID
- Insurance Card (if applicable)
- Accident Information (for injury cases)
- Any relevant medical records
Ready to Schedule Your Visit?
Take the first step toward better health by completing your patient forms and scheduling your appointment today.
For over 20 years, RC Chiropractic has helped patients throughout El Paso, TX recover from auto accident injuries, chronic pain, and spinal conditions through personalized chiropractic care and non-surgical treatment solutions.
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Patient Forms
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Contact Information
1601 Wyoming Ave, El Paso, TX
Central Office: (915) 217-0193
Cashew Office: (915) 231-6814
Office Hours
Monday – Friday: 9:00 AM – 6:00 PM
Saturday – Closed
Sunday – 9:00 AM – 6:00 PM
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