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816-347-1793
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If you request an appointment, be advised that it takes approximately 8-12 hours to receive the notice in-office.

If you need to schedule for the same day, please call the office to do so.

Make An Appointment

816-347-1793

Lee's Summit Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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 Forms - Required

You may download and print the necessary forms and bring them into the office. Or you may fill them out before your appointment. Either way is OK with us!

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 New Patient Forms

Download Pediatric Forms. (Ages 0-16)




Download the Free AdobeReader®

Featured Services

Services
We strive to provide complete care for our patients. Learn more about all the services we provide.
Make An Appointment
We will do our best to accommodate your busy schedule. Schedule an appointment today!
Online Forms
Our patient forms are available online so they can be completed in the convenience of your own home or office.