Precision Chiropractic
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  • New Patient Form

    To decrease possible wait times you can fill out the new patient packet prior to your visit. Please either print and fill out the forms to bring in for your first visit or use the links provided below to submit your information online.

    New Patient Packet – Download & Print

     
    Personal History – Submit Online

     
    Consent for Treatment – Submit Online

     
    Financial Policy – Submit Online

     
    HIPAA Notice of Privacy Practices – Submit Online

     
    Integrity Case Personal Social Family History – Submit Online

     
    Integrity Informed Consent – Submit Online

     
    Integrity Pain Drawing Form – Submit Online

     
    Integrity Verification of Insurance – Submit Online

     
    Integrity X-Ray Release Form – Submit Online

    VISIT OUR STATE OF THE ART OFFICE

    REQUEST YOUR NEXT VISIT TODAY!

    Request An Appointment

    Precision Chiropractic

    404 S Jefferson St
    Kearney, MO 64060

    (816) 635-2645

    ©Precision Chiropractic, 2023
    Website by DOCTOR Multimedia
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    Office Hours:

    Monday – Friday: 8AM-6PM
    (Closed 1PM – 2:30PM)
    Saturday & Sunday: Closed

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