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



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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

Office Hours

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-1:00 pm

Friday:

9:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed

Locations

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Testimonials

Reviews By Our Satisfied Patients

  • "IDr. Thad and Dr. Mark are the most caring Dr.'s I have ever been treated by. They have completely eliminated all of my problems including, phobias, emotional distress, knee problems, and constant shoulder pain. They use a variety of techniques to help the whole body including an emotional technique that can remove emotionally related pain! I love the energy in this clinic."
    Kendall J. Manhattan, KS

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