New Patient Paperwork

When you make your appointment, please be sure to let our staff know if you have insurance so that it can be verified prior to your appointment. The first visit is always the longest. To save yourself some time, please download the New Patient Paperwork.

We try to not over schedule our patients, therefore, we pride ourselves in minimal wait times. We conduct a thorough exam and afterward discuss your findings along with a suggested treatment plan. Often, at a patient’s request and if insurance allows, patients will receive their first treatment the same day of the exam.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

Forms are also in Spanish

Payment options

  • Insurance – We accept most insurance plans including Blue Cross Blue Shield, United Healthcare and Aetna.
  • No Insurance – we have flexible payment plans for patients with no insurance
  • LOP – We take LOP on a case by case manner.
  • Worker’s Compensation
  • PIP – Personal Injury Protection


9:00am - 6:00pm

9:00am - 6:00pm

9:00am - 4:00pm

9:00am - 6:00pm

9:00am - 2:00pm


Wellness Vida Center

12800 Preston Road #102
Dallas, TX 75230

(469) 677-0029