Online Forms

We offer our paperwork online so you can complete it in the convenience of your own home.




Health History

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?

 Download & Print Form




Auto Accidents

If your health issue is the result of an auto accident, we need some additional information.

 Download & Print Form




Patient Consent Form

Informed Consent form for all New Patients to initiate care.

 Download & Print Form




Consent to Treatment of a Minor Form

Informed Consent form for all minors to initiate care.

 Download & Print Form




Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.




Call now to make an appointment!




Dr. Kevin Raef & Dr. K. Jeremy Raef, 402 15th St., Canyon TX | (806) 655-1108

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Dr. Raef Asks some important questions of interest to Canyon and Amarillo residents - Chiropractor Canyon and Amarillo Dr. Raef Asks...

What can a chiropractor do for asthma?
Many people think of chiropractic as exclusively dealing with the spine. But I'm interested in the spine because it covers the nervous system. Problems in the spine can produce problems in the organs and tissues controlled by the affected nerves—including those to the lungs and bronchial tubes. Find out how chiropractic care has helped those with asthma.
Can a chiropractor heal?
There's never been a case in which a doctor (chiropractor or otherwise) has formed scar tissue, mended a broken bone or cured a headache. Only you can do that. Turns out you're the doctor! All I do is help remove interferences to your body's healing ability. Ready to get started? Call our office today.