Saunders County Chiropractic & Acupuncture, PC
Saunders County Chiropractic & Acupuncture, PC
  • Home
  • Meet the Pros
  • Athlete of the Month
  • Forms/ Paperwork
  • Videos
  • Map
  • Photo / Info Release Form
  • Chiropractic Info
  • Athlete of the Month
  • More
    • Home
    • Meet the Pros
    • Athlete of the Month
    • Forms/ Paperwork
    • Videos
    • Map
    • Photo / Info Release Form
    • Chiropractic Info
    • Athlete of the Month
  • Home
  • Meet the Pros
  • Athlete of the Month
  • Forms/ Paperwork
  • Videos
  • Map
  • Photo / Info Release Form
  • Chiropractic Info
  • Athlete of the Month

Download

If you would like to fill out paperwork prior to your appointment, it's available here. 

Click on the file to download.

New Patient Paperwork (pdf)Download
DOT Medical Exam (pdf)Download
Medications Clearance for DOT (pdf)Download
Photo Release Consent (pdf)Download
SportPhysical Form 2022 (pdf)Download
Sport Physical Dr. Chvatal (pdf)Download

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