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402-345-7500 H
H

402-345-7500

Online Forms

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


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 - New Patient Health History 

New Personal Injury History Form

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 - New Personal Injury History


  • 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.

Download the Free AdobeReader®

Exclusive Offer

Sign-up using the form or call us at 402-345-7500 to take advantage of this exclusive offer

Office Hours

Day
Monday8:30 - 12:002:00-5:30
Tuesday8:00-2:00
Wednesday8-12:002:00-5:30
Thursday1:00-5:00
Friday9:00-2:00
SaturdayBy Appt.Closed
SundayClosedClosed
Day
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:30 - 12:00 8:00-2:00 8-12:00 1:00-5:00 9:00-2:00 By Appt. Closed
2:00-5:30 2:00-5:30 Closed Closed