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La Vista Chiropractic & Wellness Center 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!

Adult New Patient Paperwork
 
Pediatric (0-16) New Patient Paperwork



Download the Free AdobeReader®

THIS ---->https://lavistachiropracticcom.chiromatrixbase.com/online-forms.html

Office Hours

DayMorningAfternoon
Monday9-12pm2-6pm
Tuesday8-11am1-5pm
Wednesday9-12pm2-6pm
ThursdayBy Appt.Closed
Friday8-11am1-5pm
Saturday8-10:30 amClosed
SundayBy Appt.Closed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9-12pm 8-11am 9-12pm By Appt. 8-11am 8-10:30 am By Appt.
2-6pm 1-5pm 2-6pm Closed 1-5pm Closed Closed

Testimonial

I love Dr. Lindsay! She has helped my back and sciatic nerve pain so much. I highly recommend them to anyone who has any issues!

Meghan Elizabeth S.
La Vista, NE

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