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Online Forms

We offer our paperwork on line so you can complete it in the convenience of your own home. If you have any questions or concerns, please feel free to call Andover Family Chiropractic at (316) 733-0715.


Health History

This let’s us know what’s happened, but perhaps more important, where do you want to take your health? PDF Icon  New Patient Paperwork Download & Print Form


Automobile Accident

If your health issue is the result of a car accident, we need some additional information. PDF IconDownload & Print Form


HIPPA Privacy Policy Update

The government requires as part of the healthcare changes that we update and post a copy of our Notice of Privacy Policy and Notice of Material Changes to our Privacy Practices Policy. PDF IconDownload & Print Form


Free AdobeReader®

Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.