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New Patient Paperwork

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

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

OFFICE HOURS


Monday
8:30am - 12:00pm
2:00pm - 6:00pm


Tuesday
2:00pm - 6:00pm


Wednesday
8:30am - 12:00pm
2:00pm - 6:00pm


Thursday
8:30am - 12:00pm
2:00pm - 6:00pm


Friday
8:30am - 12:00pm


Saturday
Closed

Kleckner Chiropractic Clinic
250 West 1st Street Suite C
Grimes, IA 50111
(515) 986-2233

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