New Patient Intake Form

Dr. Nicole Shutko Chiropractic Center offers our patient intake form(s) online so they can be completed in the convenience of your own home or office.

  • 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), bring them with you to your appointment or e-mail them to healthchoicechiropractic@gmail.com.

Monday
9:30am - 12:30pm
2:30pm - 5:30pm


Tuesday
9:30am - 12:30pm
2:30pm - 5:30pm


Wednesday
9:30am - 12:30pm
2:30pm - 5:30pm


Thursday
9:30am - 12:30pm
2:30pm - 5:30pm


Friday
Closed


Saturday & Sunday
Closed

Walk-Ins Welcome Monday - Thursday

Dr. Nicole Shutko
Chiropractic Center

2040 North Loop W #103A
Houston, TX 77018
(713) 522-2886