First Impressions Are Important!

That’s why we want to make sure our new patients are set up for success the moment they walk through our doors.

We want to make sure your first visit with us eases any apprehensions you may have and offers you real-life solutions to any pain you may be experiencing. To better prepare for your first visit with WellSpine KC, please review the necessary items for your chiropractic visit. Filling out these forms prior to your visit will allow us to jump in straight to your appointment. If you have any questions at any time, please don’t hesitate to contact our office at (913) 624-3888!

Patient Forms

WellSpine KC offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office. 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!

  • 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.

Adult Health History form – for 12 years of age and older

Fill Online

Child/Pediatric Health History form – for up to 11 years of age

Fill Online