Advanced Chiropractic Relief LLC, Dr. Gregory E. Johnson, D.C., Your Houston Chiropractor offers our patient form(s) online so you can complete it in the convenience of your own home or

  • 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 Questionnaire

Official Declaration

Bournemouth Questionnaire – Neck

Bournemouth Questionnaire – MSK Pain

Bournemouth Questionnaire – Back

Change Of Treating Doctor Form

Release of Medical Records Form

Consent Protected Health HIPAA Information

Insurance Acknowledgement Agreement

Financial Agreement

Award-Winning Your Houston Chiropractor

Natural Chiropractic Care Helps Houston Patients Regain Their Health and Wellness and Improve Quality of Life

Dr. Gregory Johnson is a caring and highly experienced chiropractor who has your best interest in mind. He takes the time to listen to your needs and concerns. He was named Doctor of the Year for Houston Metropolitan District 11 by the Texas Chiropractic Association. Advanced Chiropractic Relief LLC was establised to help patients find pain relief and achieve wellness through safe, effective, natural and non-invasive Chiropractic care.

5 Stars Ratings – 240 Google Reviews

Remarkable 5 Star Ratings For Advanced Chiropractic Relief LLC

For over four decades, patients from Houston and across the country have shared countless stories of how Dr. Gregory Johnson’s chiropractic care have changed their lives.

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