New Patient Paperwork

Knight Chiropractic & Functional Health offers our patient form(s) online so they can be completed 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.
  • Bring the necessary form(s) to your appointment.
  • ADULT New Patient Paperwork

    Click to Download

  • CHILD New Patient Paperwork

    Click to Download

OFFICE HOURS


Monday
9:30am - 12:00pm
2:30pm - 5:30pm


Tuesday
9:30am - 12:00pm
2:30pm - 5:30pm


Wednesday
9:30am - 12:00pm
2:30pm - 5:30pm


Thursday
9:30am - 12:00pm
2:30pm - 5:30pm


Friday
9:30am - 12:00pm


Saturday
By Appointment


Sunday
Closed

Knight Chiropractic & Functional Health

1405 Eagle Ridge Road #2
Le Claire, IA 52753

(563) 729-1400