Healthy Living Through Holistic Healing! 512-585-4654
Healthy Living Through Holistic Healing!512-585-4654

New Patient Paperwork

AHC Client Information
Patient History Forms
NewPtIntakeForms.pdf
Adobe Acrobat document [1.3 MB]
AHC Client Consent - Health Information
Patient Consent for Dr. Rachel Bailey DC to keep records of their health care and health history
HIPAAform.pdf
Adobe Acrobat document [133.8 KB]
AHC Client Consent - Contact
Electronic Communication Release - AHC.p[...]
Adobe Acrobat document [553.5 KB]
AHC Client Consent - Chiropractic Treatment
Information about potential risks with chiropractic adjustments. Dr. Rachel Bailey DC has been practicing for more than a decade and she has never experienced these complications within her practice, but she still wants to fully inform all potential patients.
InformedConsent.pdf
Adobe Acrobat document [187.6 KB]
Medicare & Insurance
Dr. Rachel Bailey DC does not file with insurance and Medicare. You may submit your receipts to your insurance carrier for direct reimbursement. This will likely depend on your coverage for chiropractic care, your deductible amounts for out of network, and pending approval by your insurance company.
Medicare.pdf
Adobe Acrobat document [26.5 KB]

 

 

 

Articles, Handouts, & Forms Of Interest

    ..... coming soon!

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Contact Details

Austin Hills Chiropractic

3839 Bee Caves Road

Suite 206

Austin, TX 78746

fax: 512-870-9367

Flexible Scheduling! *

By Appointment Please

Monday

   12:30pm  -   4:00pm

Tuesday

     2:30pm  -   4:30pm

Wednesday

  10:00am   -   10:30am

   11:30am  -   12:00pm

     2:00pm  -    4:30pm

Thursday

   10:00am   -   10:30am

   11:30am  -    12:00pm

   12:30pm  -     3:30pm

     6:00pm  -     7:30pm

Friday

  10:00am   -   10:30am

   11:30am  -   12:00pm

    4:00pm   -    5:30pm

Saturday

  8:00am   -  10:30am

 

*Other options may be available upon request.

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