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Online Forms

Back To Health 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 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!

Fill Out Here



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Locations

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Office Hours

Our Regular Schedule

Wathena

Monday:

8:30 am-5:00 pm

Tuesday:

Closed

Wednesday:

8:30 am-5:00 pm

Thursday:

2:00 pm-6:00 pm

Friday:

8:30 am-5:00 pm

Saturday:

Closed

Sunday:

Closed

Savannah

Monday:

8:30 am-5:00 pm

Tuesday:

10:00 am-6:00 pm

Wednesday:

Closed

Thursday:

10:00 am-5:00 pm

Friday:

8:30 am-5:00 pm

Saturday:

Closed

Sunday:

Closed

Testimonial

Review By Our Satisfied Patient

  • "I have had chronic shoulder pain for years, on a whim I thought that I would give acupuncture a shot, what could it hurt to try! After the first session I noticed some relief, and was so excited to schedule my next appointment. After a few sessions my pain was resolved completely."
    Vicki - Wathena, KS