New Patient Form for Ark-La-Tex Health Center

New Patient Form

Please print this form and fill it out at home. Bring it in on your first visit. See you in the clinic!

What People
Are Saying

For many years as an Adult Nurse Practitioner I referred patients to chiropractors for muscular pain therapy. It was not until I personally experienced the pain resulting from a pinched nerve that I appreciated the result of chiropractic therapy. With 3-4 treatments Dr. Raker had my pain controlled. I highly recommend him and his therapy to anyone with muscular pain or problem.

Theresa B. Morgan