New Patient Paperwork

Cinco Healthcare offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them...
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

printerNew Patient Paperwork - Click Here to Download


Monday9:00am - 6:00pm
Wednesday9:00am - 6:00pm
Friday9:00am - 6:00pm
Chiropractic Katy TX Office Cinco Healthcare Office Logo

Cinco Healthcare
1718 Fry Road #445
Houston, TX 77084
(713) 334-3117

Recommended Chiropractor


“I strongly encourage anyone that needs rehab to visit Dr. Vasquez. If you are looking to try functional medicine look no further, Dr. Vasquez is your Dr.”

- Arron Hughes

“I can definitely say Dr,Vasquez has made a big change in my health. I have followed Dr. Vasquez to every location he has been at since I have met him and will tell anyone it is worth the hour plus drive I make at least once a week. ”

- Vonda Holmes

“Dr. Vasquez's always is very concerned with my condition and always asks how I am feeling and if anything "came up" since my last visit, before anything else. He is very knowledgeable when it comes to internal medicine and treatments.”

- Christine Bacongallo

Recommended Chiropractor - White

1718 Fry Road #445

Houston, TX 77084