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
Chiropractic Registration and History
Protocol for Preservation of Patient Records
Acknowledgement of Patient's Records Preservation
Vehicle Accident Information (if applicable)
Additional Patient Forms(please print and complete the corresponding forms for your area of pain)
Neck Disability Index Questionnaire
Neck Bournemouth Questionnaire
Revised Oswestry Back Pain Disability Questionnaire
Back Bournemouth Questionnaire
“Dr. Cross name came up I called him because I was in tears the pain was so bad and he saw me within half an hour. I arrived and the rest was history Dr Cross worked his magic and I never felt sciatica pain on the right side again.”- Alexia S.
“He is very flexible, works with your schedule to get you in as often as possible, and has late office hours 3 days a week (which I've found to be very rare). Stop seeing endless medical doctors who can't figure out what's wrong with you, and call Dr. Cross”- Erin K.
“My migraine headaches are now few and far between. I highly recommend Dr Cross. He made a difference in my quality of life and my pocketbook.”- Sharilee H.