New Patient Paperwork

Larson Chiropractic and Acupuncture, PC offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them...
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

printerNew Patient Health History Form (Required)- Click Here to Download


Monday10:30am - 12:30pm
3:00pm - 6:00pm
Tuesday10:30am - 12:30pm
3:00pm - 6:00pm
Wednesday10:30am - 12:30pm
3:00pm - 6:00pm
Thursday10:30am - 12:30pm
Chiropractic Lincoln NE Office logo

Larson Chiropractic and Acupuncture, PC
4910 Old Cheney Road #1A
Lincoln, NE 68516
(402) 421-1626

Recommended Chiropractor