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+ 1 541-754-3010

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+ 1 541-754-3010

Online Forms

Here are some important forms you to review and complete prior to your appointment with one of our physicians or provider.

  • Screening Checklist for Visitors
  • New Patient Enrollment Form
  • Medical History Form
  • Online Doctor Appointment Form
  • Psychiatric Evaluation Form
  • Quick Emergency Contact Form
  • Blood Donation Form
  • HIPAA Privacy Restriction Questionnaire
  • Medical Release Form

Our practitioners communicate with one another throughout your care. Your chiropractor, massage therapist, physical therapist, holistic practitioner, and yoga practitioner all work from the same understanding of your health, so every session builds on the last rather than starting from scratch.

210-857-1005

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Address:

6025 Tezel Rd. #102, San Antonio, Texas 78250

Phone:

210-857-1005

Opening Hours:

Monday, Wednesday, and Friday 10:30 am to 5:30 pm

email:

drguerra@holisticandwellnessmedicine.com

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