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Practice Name

Southwestern Chiropractic and Wellness Center

Primary Location
114 S. Jackson Ave., Suite 200
Wylie, TX 75098
Phone: 972-429-4677
Fax: 972-429-8229

Office Hours

DayMorningAfternoon
Monday9-13-6:30
Tuesday9-13-6:30
Wednesday9-13-6:30
Thursday9-13-6:30
Friday8-1Closed
SaturdayBy Appt.Closed
SundayClosedClosed
Main Content

Southwestern Chiropractic and Wellness Center 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.

All of these forms need to be filled out completely.  If you have any questions, please feel free to contact our office.  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!

Patient Intake Form

HIPAA Agreements

Signature on File

Cancellation Policy

Chiropractic Insurance

If you are a patient under the age of 18, this form needs to be signed.

Consent to Treat Minor


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 chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, 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®

Call Today!

We offer active military discounts!  We are proud of you all and appreciate the work you are doing here and overseas!!  We also offer active law enforcement and firefighter discounts!

Sign-up using the form or call us at 972-429-4677 to get more information about our office!!

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Links

Services We strive to provide complete care for our patients. Learn more about all the services we provide. Make An Appointment We will do our best to accommodate your busy schedule. Schedule an appointment today! Online Forms Our patient forms are available online so they can be completed in the convenience of your own home or office.

Testimonials

Dr. Reif has ended what has been keeping me down the last 10 years!!  Thank you!!

- D. H. / Wylie, TX

Business Hours

DayMorningAfternoon
Monday9-13-6:30
Tuesday9-13-6:30
Wednesday9-13-6:30
Thursday9-13-6:30
Friday8-1Closed
SaturdayBy Appt.Closed
SundayClosedClosed

About Us

About Us At Southwestern Chiropractic and Wellness Center, we understand the importance of your wellness. To achieve your wellness objectives, you have come to expect the highest levels of service and patient care. As a result, we continuously commit ourselves to meeting and exceeding your expectations. To us, providing a total health care experience means dedicated and friendly staff, flexible and convenient hours and the highest quality care available. We believe that knowledge can be empowering. The more we understand our bodies and the mechanisms that cause injuries the more committed we become to getting better. Our office is devoted to educating you about your body, how it works and how to heal it. We believe in working with our patients as partners to learn from each other in our journey together to maximize health. Read More

Contact

114 S. Jackson Ave., Suite 200
Wylie, TX 75098
Get Directions
 
  • Phone: 972-429-4677
  • Fax: 972-429-8229
  • Email Us

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Member Wellness