8553 Hickman Rd | Urbandale, IA 50322

Online Forms

Family Chiropractic Health Center offers our patient form(s) online so they can be completed in the convenience of your own home or 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!

Download & Print Form



Download the Free AdobeReader®

Office Hours

Our Regular Schedule

Monday

9:00 AM - 12:00 PM

2:00 PM - 6:00 PM

Tuesday

2:00 PM - 6:00 PM

Wednesday

9:00 AM - 12:00 PM

2:00 PM - 6:00 PM

Thursday

2:00 PM - 6:00 PM

Friday

9:00 AM - 12:00 PM

2:00 PM - 6:00 PM

Saturday

Closed

Sunday

Closed

Monday
9:00 AM - 12:00 PM 2:00 PM - 6:00 PM
Tuesday
2:00 PM - 6:00 PM
Wednesday
9:00 AM - 12:00 PM 2:00 PM - 6:00 PM
Thursday
2:00 PM - 6:00 PM
Friday
9:00 AM - 12:00 PM 2:00 PM - 6:00 PM
Saturday
Closed
Sunday
Closed

Locations

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