Welcome To The New Patient Portal

Everything you need for your first appointment with us:
Welcome! We are so glad you are here! To make your first appointment a little bit easier please fill out these forms and bring them in with you to your appointment. You can fill them out and email them if you prefer to drjackiedc@drjackiedc.com. If you have little ones (under 12 years old) please fill out the pediatric form.
 
Have any questions about your insurance benefits or pricing?  Feel free to call us at: 972-867-9900 and our receptionist Shelbi will be happy to answer any questions or concerns you might have about your first appointment. We ask that new patients arrive 10-15 minutes early so we can check you in, show you around, and make you feel at home. 
New Patient
Intake Form
New Patient
Pediatric Intake Form

© 2019 by Dr. Jackie Romanies, DC.

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