Green Oaks Chiropractic

Dr. Dedra Fite

Welcome

Dr. Fite

Activator Method

Chiropractic

Contact Us

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FAQs

Forms

New Patients

Payment Options

Products

Staff

Patient Forms


 
 

New Patients


  • Health Questionnaire
  • Neck & Back Questionnaire
  • Assignment of Medical Benefits
  • Consent for Treatment, HIPPA
  • Insurance Acceptance Policy
  • Massage Questionnaire (if massage only scheduled)

 

Auto Accident


  • Health Questionnaire
  • Accident Summary Form
  • Assignment of Medical Benefits
  • Consent for Treatment, HIPPA
  • Insurance Acceptance Policy 

 

  Miscellaneous

  • Massage Questionnaire

 

BioChemical Nutrition:
Complete the following questionnaire(s) to see
if you may be a candidate for BioNutritional Counseling

  • Adrenal Fatigue Quick Check
  • Hypothyroidism Checklist
  • Infant Checklist
  • Children Checklist
  • Toxicity Questionnaire

       *If you checked at least 30% on your Checklists,
       
you are a good candidate for BioChemical Nutri-
        tion.  Call our office today to set up your consulta-
        tion with Dr. Fite.  Please bring all questionnaires
        plus Male/Female questionnaire below with you.


  • Female Questionnaire
  • Male Questionnaire



  www.greenoakschiro.com                                                             817-483-3975