Request an Appointment

Kelly Chiropractic Center
11201 Richmond Ave Suite A-103
Houston, TX 77082
713-780-0555
info@rjkellychiropractic.com
*Indicates a Required Field

Please view our office hours and then fill in the following form to request an appointment. You will receive a confirmation call to verify, before any appointment is scheduled.

*First Name
*Last Name
*Phone
format: XXX-XXX-XXXX
*Email Address


Date and Hour for Requested Appointment

*Select Hour *AM/PM

*Please tell us if you are a current patient, or are requesting to become a new patient.
I am a current patient at your office
I am looking to make an appointment to become a new patient


Optional Short Comments or Message

For verification purposes, please type in the numbers and letters that you see below then press the Send Request button.

NOTE: You do not have a scheduled appointment until we can call you and verify this appointment request.

               

Monday
8:00am - 12:30pm    2:30pm - 7:00pm
Tuesday
10:00am - 1:00pm    2:30pm - 7:00pm
Wednesday
2:30pm - 7:00pm
Thursday
10:00am - 1:00pm   2:30pm - 7:00pm
Friday
9:00am - 11:00am
Saturday
The 4th Saturday of each month we will be in office at 9:00am
Sunday
CLOSED

After Hours prices are as follows

Atfer Hours $100.00 Adjustments $40.00