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South OKC Chiropractic Clinic 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.

Below is the majority of the paperwork that we use here at our office.  All new patients (including auto accidents, worker's compensation, or health insurance) must fill out the New Patient Paperwork packet.  Cash patients need to fill out the same packet, but do not need the "Assignment of Health Benifits" form.

If your current injury was caused by a work related injury (worker's compensation claim) please fill out the Worker's Compensation form. If it is realated to an auto accident (personal injury), please fill out the Accident Paperwork form.


New Patient Health History Form - Required

All new patients must fill this packet out.  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!

Download & Print


Pediatric New Patient Health History Form - Required (Children under 12)

All new pediatric patients must fill this packet out.  This lets us know the history and current state of their health. What questions, concerns, goals, regarding wellness can we help them with? Let us know!

Download & Print


Worker's Compensation Packet

All new worker's compensation patients must fill this packet out along with the new patient packet.

Download & Print


Accident Packet

All new auto accident patients must fill this packet out along with the new patient packet.

Download & Print

Call 405-604-5295 to make an appointment.

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

Office Hours

DayMorningAfternoon
Monday9:30 - 12:303:00 - 6:00
Tuesday9:30 - 12:303:00 - 6:00
Wednesday9:30 - 12:303:00 - 6:00
Thursday9:30 - 12:303:00 - 6:00
Friday9:30 - 12:303:00 - 6:00
Saturday9:30 - 12:303:00 - 6:00
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:30 - 12:30 9:30 - 12:30 9:30 - 12:30 9:30 - 12:30 9:30 - 12:30 9:30 - 12:30 Closed
3:00 - 6:00 3:00 - 6:00 3:00 - 6:00 3:00 - 6:00 3:00 - 6:00 3:00 - 6:00 Closed

Testimonial

Dr. Pertree been successfully treating my hubby for years and is now working on my almost 2 year old. We are so thankful to have found such a great chiropractor and wonderful staff! If you want the best care from an honest group of people, this is your place.

Kelli E.
Oklahoma City, OK

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