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Veterinary Referral Form

Step 1.

Referral Form Signed by a Veterinarian

In the state of Texas, for your pet to receive chiropractic care, a Veterinarian Referral Form must be completed and signed by both the owner and Veterinarian. If a patient is not a candidate for animal chiropractic or needs further diagnostics from their vet before receiving care, we will not treat and will refer to the patient’s vet as necessary. Our services are not meant to replace traditional veterinary care, but rather an integrative method that when used in conjunction, will make a positive impact in your animal’s life.

DOWNLOAD the form below.

If you prefer to have the form emailed to you and your veterinarian, please provide BOTH emails and the document will be sent through Docusign.

Step 2.

Send the completed form

Send the completed form by either email or text:


Text: (469) 901-2279

(If you had the form sent through Docusign, you do not need to worry about this. It will automatically be sent to Dallas Animal Chiropractic.)

Step 3.

You will be contacted to schedule an appointment

You will be contacted by your information on the form to set up an appointment.

Follow up visits can be booked online.


Your appointment time is reserved just for you. A late cancellation or missed visit leaves a hole in the practitioner's day that could have been filled by another patient. As such, we require 24 hours notice for any cancellations or changes to your appointment. Patients who provide less than 24 hours notice or miss the appointment will be charged a cancellation fee of the total cost of their visit

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