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Call Today | 913-789-9929

New Patients

Online Forms
Results Chiropractic offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

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

GET IN TOUCH


4210 Rainbow Rd
Kansas City, KS 66103

Phone: 913-789-9929

Email: getresults@resultschiropractic.com

At Results Chiropractic, our friendly and experienced staff will make sure you always feel comfortable and well-informed. Your well being is our top priority. Call today. We look forward to meeting you very soon!

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