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Feel free to text 402-937-3138 for appointments or questions.
Healing Hands Chiropractic 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.
Please download, print, and fill out these entrance forms prior to your first visit. Please fill them out some time in advance of your appointment to refresh your memory on any health history.
About You Form
Terms of Acceptance
Pediatric Entrance Forms:
For ages 5 and under. Please download, print, and fill out these entrance forms for your child prior to his/her first visit.
Pediatric Health History
Download the Free AdobeReader®
- We strive to provide complete care for our patients. Learn more about all the services we provide.
- Make An Appointment
- We will do our best to accommodate your busy schedule. Schedule an appointment today!
- Online Forms
- Our patient forms are available online so they can be completed in the convenience of your own home or office.