Switch to Main Site
Practice Name

The Family Chiropractic Center

Social Media
Primary Location
1124 N. Locust Street
Denton, TX 76201
Phone: 940-382-6141
Fax: 940-392-3992

Office Hours

DayMorningAfternoon
Monday8 - 121 - 6
Tuesday8 - 121 - 6
WednesdayClosedClosed
Thursday8 - 121 - 6
FridayClosedClosed
SaturdayBy Appt.Closed
SundayClosedClosed
Main Content

New Patient Forms


Like any doctor’s office, there is a bit of paperwork which we to have an accurate and complete medical history of before your first appointment.

You can download it here and fill it out in the comfort of your own home in your own time before your appointment.  It is very important that you be through in filing out this paperwork so that your condition can be better addressed by the doctor.  Even seemingly small details are important to both your care and your treatment plan.

View HIPPA Regulations

Download New Pediatric Patient Forms (newborn-12)

Download New Adult Insurance Patient Forms

Download New Adult Cash Patient Forms

Download New Auto Accident Patient Forms 

If you have any questions in the process of completing the forms, or if you have problems downloading and printing them, please call our office manager at (940) 382-6141 for assistance. We are in the office Monday through Thursday and our voicemail is on 24 hours per day, 7 days per week. We check voicemail regularly when we are out of the office and will get back to you as quickly as we can.

Thank you for taking the time to complete your paperwork before coming for your first appointment. It helps us have the time to give you the extra attention and service that you deserve. It also helps us stay on schedule which we know that you, we, and our other patients will all appreciate.



Download the Free AdobeReader®

Exclusive Offer

Sign up now for a $35 hour massage!

Name: *
Email: *
Phone: *

We have designed a cost-effective and user-friendly device called the Backloop that can help you get healthy and eliminate chronic back pain. Click the logo for more info.

Online Forms

The Family Chiropractic Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.
Download Online Forms Here

Follow Us

Dr. Chuck Tillotson & Dr. Jan Nix

Request an Appointment

Chiropractic

Request Now


Massage

Request Now

Our Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

Read More

Contact

The Family Chiropractic Center
1124 N. Locust Street
Denton, TX 76201
Get Directions
 
  • Phone: 940-382-6141
  • Fax: 940-392-3992
  • Email Us

Office Hours

DayMorningAfternoon
Monday8 - 121 - 6
Tuesday8 - 121 - 6
WednesdayClosedClosed
Thursday8 - 121 - 6
FridayClosedClosed
SaturdayBy Appt.Closed
SundayClosedClosed
Newsletter

Newsletter Sign Up










Community Content