Online Forms

Klein Chiropractic Clinic 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*** - Download & Print Forms


United Health Care Form - Download & Print Form


American Specialty Health (ASH) Form - Download & Print Form


HIPPA Form - Download & Print Form


Auto Accident Form - Download & Print Form




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3D Spine Simulator

Office Hours

Our Regular Schedule

Monday:

6:30 am-10:45 am

2:00 pm-5:45 pm

Tuesday:

6:30 am-10:45 am

2:00 pm-5:45 pm

Wednesday:

6:30 am-10:45 am

2:00 pm-5:45 pm

Thursday:

6:30 am-10:45 am

Closed

Friday:

6:30 am-10:45 am

2:00 pm-5:00 pm

Saturday:

7:00 am-11:00 am

Closed

Sunday:

Closed

Closed

Location

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Testimonials

Reviews By Our Satisfied Patients

  • "I have benefited tremendously from the chiropractic care I received from Dr. Whitaker."
    Rick H.

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