Online Forms

Chiropractic Natural Health Care offers our patient form(s) online so they can be completed it in the convenience of your own home or 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!

Download & Print Form


Infant New Patient Paperwork (0-3)

Download & Print Form


Pediatric New Patient Paperwork (4-17)

Download & Print Form


Adult New Patient Paperwork (18+)

Download & Print Form



Download the Free AdobeReader®

Manhattan Office

Address

1130 Westport Drive Suite 5
Manhattan, KS 66502

Phone

785-539-9113

St. Marys Office

Address

611 W Lasley St
St. Marys, KS 66536

Phone

785-321-6113

Manhattan Hours

Monday  

8:30 am - 6:00 pm

Tuesday  

8:30 am - 1:00 pm

Wednesday  

8:30 am - 6:00 pm

Thursday  

8:30 am - 1:00 pm

Friday  

8:30 am - 6:00 pm

Saturday  

Closed

Sunday  

Closed

St. Marys Hours

Monday  

9:00 am - 5:00 pm

Tuesday  

9:00 am - 1:00 pm

Wednesday  

9:00 am - 5:00 pm

Thursday  

9:00 am - 4:00 pm

Friday  

9:00 am - 5:00 pm

Saturday  

Closed

Sunday  

Closed

Make your appointment today by calling one of our office locations or filling out the information below!

Manhattan 785-539-9113 St. Marys 785-321-6113