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Home   Online Forms

Online Forms

Baytown Back Pain Chiropractic offers our patient form(s) online so they can be completed 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 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!

Location

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Office Hours

Our Regular Schedule
Baytown Back Pain Chiropractic
Monday:
08:00 am - 05:30 pm
Tuesday:
08:00 am - 05:30 pm
Wednesday:
08:00 am - 05:30 pm
Thursday:
08:00 am - 05:30 pm
Friday:
08:00 am - 05:30 pm
Saturday:
09:00 am - 12:00 pm
Sunday:
CLOSED
Testimonials
Reviews By Our Satisfied Clients
"I absolutely love everything about this practice! I would never go anywhere else. The staff is so kind and helpful and they always take such good care of me! I would absolutely recommend them!"
Vanessa Kay Tullis
"Love this place! They take such wonderful care of you! Very polite staff! Always friendly ! I have had acupuncture several times here and have always had great experiences !"
Sheila K. Goldman
"So terrific. Acupuncture is the best medicine. Dr. Yanis is terrific, great bedside manner. Office staff is helpful."
Lanie Strider
"Love this place we are here at least twice a month sometimes more The staff is wonderful and Dr Yannis is the BEST chiropractor in this area �"
Angie Goodman
"The atmosphere is wonderful and the people are so down to eart.. only chiro I will go to.."
Terasa McDaniel DeFusto
"LOVE this place! They can always fit you in when you call at the last minute, and everyone is extremely nice."
Faith Smith Andrade
"very professional staff and they know what they are doing. very courteous"
David Evans
"Dr Kuykendall is awesome!!! Fixed me right up! Pinched nerve and all!"
Keri Hough
"People here have been awesome! Very attentive to my pains and aches. Dr. K is great!"
Gordon Little
"Dr Terry Moore is a great guy and a great Dr as well!"
Jim Kubik
Contact Us Today
We look forward to hearing from you
Please do not submit any Protected Health Information (PHI).