New Patients
FILL OUT THESE FORMS FOR YOUR INITIAL VISIT

We want to thank you for visiting the Hiawatha Chiropractic website! We want you to feel comfortable on your first visit here with us.

Your initial visit will consist of a medical history, a thorough examination and a treatment plan will be created for you by the Chiropractor. Any questions will be answered and the treatment process will be explained. To set up an appointment, give us a call at 319-261-4888.

If any X-rays are needed, we will refer you to your primary care physician. 

IMPORTANT: All patients under the age of 18 must be accompanied by a parent or guardian. 

Thank you for choosing Hiawatha Chiropractic! Please fill out the form below for your first visit to save on time. If unable to fill these forms out beforehand, please show up to your appointment 15 minutes early to allow time for such. 

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