HomePatient Forms & PoliciesChiropractic Treatment Consent
Service-specific consent
Chiropractic Treatment Consent
Scope, benefits, risks, and alternatives for chiropractic care provided through Bayou City Breastfeeding.
The full Chiropractic Treatment Consent is provided as a PDF.
Use the Download PDF button above to read the complete document. You’ll review and sign this form through Jane, our practice-management system, when you schedule a visit for a chiropractic appointment.
If you’d like a copy of an earlier version, or if you have a question about anything in this document, email admin@bayoucitybreastfeeding.com. We won’t begin treatment until you’ve had the opportunity to review the documents and ask questions.
What this document covers
The Chiropractic Treatment Consent describes the scope of chiropractic care provided through Bayou City Breastfeeding by a chiropractor licensed by the Texas Board of Chiropractic Examiners. It covers expected benefits, known risks of chiropractic adjustments for infants and adults, alternatives to chiropractic care, and what to expect at a typical visit.
How it fits with the other forms
This consent is reviewed in addition to the four intake documents when you schedule the corresponding service. You only see and sign it when that service is on your appointment.
Questions before you sign?
Email admin@bayoucitybreastfeeding.com or call (281) 305-0411. We’re happy to walk through any section with you before your first visit.
Ready to schedule?
When you book a visit, Jane sends you the intake documents and the consent for the service you’re scheduling. Request Appointment or call (281) 305-0411.