Lawrence Teixeira DC, PA. offers our patient form(s) online so they can be completed it in the convenience of your own home or office.  Let us help you get back to life!

• 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 Forms - Required (Vehicle Accident form will also be needed if related to a car accident)

This lets us know the history and current state of your health. It also includes our financial policy.  What questions, concerns, or goals can we help you with? Let us know!

Download & Print Form

Vehicle Accident Form - Required only if your injury is related to a car accident

This form allows us to better understand how your accident happened and how that releates to your injuries.

Download & Print Form

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

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