You are using an outdated browser. Please upgrade your browser to improve your experience.

Close [x]

(501) 767-0900

Sign up using the form below or call us at (501) 767-0900.

Body in Balance Chiropractic offers our patient form(s) online so you can complete it 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.
  • E-mail us your printed and completed form(s) or bring it with you to your appointment.

New Patient Privacy Form - Required

Download & Print Form

Records Request Form - if we are requesting records for you.

(Can be faxed to us in advance at (501)767-8430)

New Patient Health History Form - Required

This lets us know the history and current state of your health.

Download & Print Form

Back of Health History Form

Authorization Form for Billing - Required if you have any type of Insurance

Download & Print

Consent to Treat a Minor - Required if patient under 18 

Download & Print

Neck Index Form - for neck pain and/or headache conditions

Download & Print

Low Back Index Form - for lowback/hip/sciatica conditions

Download & Print

Download the Free AdobeReader®


We LOVE Body in Balance! Very intelligent and caring - the journey to healing starts here!

Holly / Hot Springs, AR

Been going there for years. Good place, great staff. Thanks.

Chuck / Hot Springs, AR

Could not ask for a better experience!

J.M. / Hot Springs, AR

Office Hours

Monday8:30 AM5:30 PM
Tuesday8:30 AM5:00 PM
Wednesday8:30 AM5:30 PM
Thursday8:30 AM5:00 PM
Friday8:30 AM5:30 PM
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:30 AM 8:30 AM 8:30 AM 8:30 AM 8:30 AM
5:30 PM 5:00 PM 5:30 PM 5:00 PM 5:30 PM