(712)737-OUCH
(712)737-6824
Rock 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.
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If you do not already have AdobeReader® installed on your computer, Click Here to download.
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Download the necessary form(s), print it out and fill in the required information.
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Fax us your printed and completed form(s) or bring it with you to your appointment.
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We have several ways to complete necessary intake paperwork.
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Complete on your own device (phone,tablet or computer) via this online
link: https://intake.helloinnate.com/IntakeWeb/Index.aspx
**A unique PIN# will be provided to you when an appointment is scheduled.
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Adult-Over Age 12 Years
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!
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Pediatric-Age 12 or Younger
Download the Free AdobeReader®