ALIGNance Chiropractic, Inc offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

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


New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form





Download the Free AdobeReader®

Office Hours

Our Regular Schedule

Monday

9:00 am - 1:00 pm

3:00 pm - 5:30 pm

Tuesday

9:00 am - 1:00 pm

3:00 pm - 7:00 pm

Wednesday

Closed

Thursday

3:00 pm - 7:00 pm

Friday

9:00 am - 12:00 pm

Saturday

Closed

Sunday

Closed

Monday
9:00 am - 1:00 pm 3:00 pm - 5:30 pm
Tuesday
9:00 am - 1:00 pm 3:00 pm - 7:00 pm
Wednesday
Closed
Thursday
3:00 pm - 7:00 pm
Friday
9:00 am - 12:00 pm
Saturday
Closed
Sunday
Closed

Locations

Find us on the map

New patients receive $10 OFF first visit when you mention the Website.

We look forward to hearing from youSign-up using the form or call us at 913-515-6614 to take advantage of this exclusive offer.