REGISTRATION FORMS 

Shelton Chiropractic offers our patient form(s) online so they can be completed 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.
• Fax us your printed and completed form(s) or bring it with you to your appointment.

Are you a New Patient?

Click on these links to download the forms. Print and fill them out. Please bring them with you to your first appointment.

New Patient Intake Form

Assignment of Benefits

Are you an Existing Patient?

Click on these links to download the forms. Print and fill them out. Please bring them with you to your appointment.

Patient Update Form

Assignment of Benefits

Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

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Dr. Melissa Shelton 
Shelton Chiropractic  
7924 Preston Road Suite 300 Plano, TX 75024
Phone: (214) 387-9800
Fax: (214) 387-9688
Email: Shelton Chiropractic