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Chiropractor Plus offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

You can fill in our New Patient Registration Form online and submit it with a click of your mouse button.  This will save time when you come for your initial appointment.

If you are coming to the office for naturopathic care, we ask you to fill out a more extensive health history form.  These forms are available below.

  • 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 for Naturopathic Patients 

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 Women Health Questionnaire Form
Download & Print Men Health Questionnaire Form


Notice of Privacy Practices


Download & Print Notice of Privacy Practices



Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form


Download the Free AdobeReader®
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Mon 6am - 2pm
Tue 6am - 2pm
Wed 6am - 2pm
Thu 6am - 2pm
Fri 6am - 2pm
Sat 6am - 9am
Sun Closed

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Chiropractor Plus
1361 W. Mount Vernon Street
Nixa, MO 65714
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  • Phone: 417-725-6655
  • Fax: 417-725-7840
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