Anderson Family Chiropractic
Anderson Family Chiropractic
Anderson Family Chiropractic
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Anderson Family Chiropractic, P.C.
8088 Douglas Ave
Urbandale, IA 50322
T: 515.252.7070
F: 515.252.7670
Copyright © 2007
Anderson Family Chiropractic, P.C.

 


Below are forms that can be downloaded by patients. These are available so the forms can be filled out when it is convient for the patient.


Download Adobe Reader


Welcome Form - A form for new customers that gathers contact and symptom information.

Download » PDF Welcome Form (123 KB)


Notice of Privacy Practices Signature Form - This form acknowledges that the patient received the Notice of Privacy Practices Form.

Download » PDF Notice of Privacy Practices Signature Form (8 KB)


Notice of Privacy Practices - This form describes how medical information about you may be used and disclosed and how you can get access to this information.

Download » PDF Notice of Practices Practices (35 KB)

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