Your health information is very important to us and things are often forgotten when filled out in a rush, especially in a new office. Filling out this new patient paperwork online will streamline your first office visit and the best part is you can do it in the comfort of your own home or office.
The link below will take you to a secure site, where your health information is protected and will be sent directly to our office when submitted. Please do not hesitate to call if you have any questions!
Please fill out this form to the best of your knowledge prior to your initial appointment. This will save you valuable time in the office and make your first appointment as efficient as possible. It also will enable our doctor to have as much information as possible to help guide your initial examination. Don't hesitate to call if you have any questions.
For your convenience these additional forms are available for download to read and sign before your appointment. Please download, read, and sign these forms and bring them with you to your appointment, or you may sign them when you come into the office
Notice of Information Practices (HIPAA)
Day | Morning | Evening |
---|---|---|
Monday | 9am - 1pm | 3pm - 6pm |
Tuesday | 9am - 1pm | 3pm - 6pm |
Wednesday | 9am - 1pm | 3pm - 6pm |
Thursday | 9am - 1pm | 3pm - 6pm |
Friday | 9am - 1pm | 3pm - 6pm |
Saturday | By appt | |
Sunday | N/A | N/A |
Our Chiropractic Clinic is located just minutes from Offutt Air Force Base in Bellevue, NE at the northeast corner of 36th street and Hwy 370.
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