New Patient Paperwork

We’re happy to accept new patients at our office. Your initial visit with us will include a thorough consultation, detailed health history, examination, and X-rays (if they’re required).

Our experienced chiropractors take time to get to know you and answer your questions.

We will design a treatment plan specifically for you, ensuring you get the best care to maintain or recover good health.

Kiekhoefer Chiropractic offers our patient form(s) online so they can be completed 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 them with you to your appointment.