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Online Forms

Tucson Chiropractic Spine and Injury Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • 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 Protocol for Records

Download & Print Form Chiropractic Registration and History

Download & Print Form Protocol for Preservation of Patient Records

Download & Print Form Acknowledgement of Patient's Records Preservation

Download & Print Form Vehicle Accident Information (if applicable)

Additional Patient Forms (please print and complete the corresponding forms for your area of pain)

Download & Print Form Neck Disability Index Questionnaire

Download & Print Form Neck Bournemouth Questionnaire

Download & Print Form Revised Oswestry Back Pain Disability Questionnaire

Download & Print Form Back Bournemouth Questionnaire

Download the Free Adobe Reader®

*This offer is not valid if services are covered by any type of insurance.

Office Hours

Monday:

10:00 am-5:00 pm

Tuesday:

11:00 am-7:00 pm

Wednesday:

11:00 am-7:00 pm

Thursday:

11:00 am-7:00 pm

Friday:

10:00 am-5:00 pm

Saturday:

By Appointment

Sunday:

Closed

Locations

Testimonials

  • "Dr. Cross is by far the best Chiropractor I have ever been to. I am 55 and have been getting chiropractic care since my early 20s for my neck and upper back. I recently discovered I have an atlas subluxation and was so happy to discover Dr. Cross. In fact he is the only Doctor in Tucson using this technique. An upper cervical Chiropractor is called an Orthogonist. He is also a holistic Chiropractor treating all areas of the body including health and wellness. So don't walk...run to Doctor Cross for any aches or pains. He is a truly amazing empathetic and humble person and a phenomenal Doctor."
    Cheryl P. Tucson, AZ
  • "Dr. Cross is a superb doctor. Believe it, or not, he has helped me with every health issue, including doing research and reporting things my other doctors didn't know. Dr. Cross advises on permanent fixes, such as exercises to strengthen weak muscles, health programs, vitamins, supplements, and things I should read and research on my own to expand my health knowledge. Keep up the great work, Dr. Cross."
    Margaret W.
  • "Dr. Cross is very knowledgeable, has an engaging personality, and empathy towards the patient."
    Frank

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