Patient Forms

Success is where preparation and opportunity meet. – Bobby Unser

For your convenience, many of our forms are available to download in Adobe PDF format. To save time please print and bring the completed documents with you to your first appointment. If you have questions about which forms you will need for your appointment, please contact:

New patients/co-learners: please call our New Patient Coordinator at 316.927.4765
Existing patients/co-learners: please call our Wichita office at 800.447.7276

Thank you and we look forward to seeing you at your appointment!

  • Appointment Forms

    Forms included: New Patient Intake, Notice of Privacy Practices, Rights and Responsibilities, Permission to Discuss, Records Requests, etc

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  • Chiropractic Forms

    Forms needed for chiropractic appointments such as history, milestones and checklists to help the doctor better understand your past chiropractic experiences and current needs.

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  • Travel Resources

    Includes: Driving direction to each clinic, hotel recommendations, local stores/restaurants

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