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Call Us Today

405-454-6400
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Sign up using the form below or call 405-454-6400 to make an appointment.

Harrah Chiropractic offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • If you do not already have Adobe Reader® 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 Health History Form - Required

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 Form

New! Patient Health History - Detailed Form 

DO NOT FILL OUT UNLESS TOLD TO DO SO

This new form is very detailed so to review this file and fill it out, click on the appropriate link below.
Download & Print in Adobe Reader Format

Download & Print in Microsoft Word Format


Eating Practices For Optimal Health

Vitally Important information to help guide you to Optimal Health from your Eating Habits...

Download this information below.

Download in Adobe Reader Format

Download in Microsoft Word Format



ABN-Medicare Form

Download & Print Form

Consent to treat a minor Form

Download & Print Form

Personal Injury & Workers Comp Form

Download & Print Form

Privacy disclosure Form

Download & Print Form

Terms of Acceptance Form

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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Contact Us
We established a good communication with every client we have. Call us today!
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.