Online Forms

Lee's Summit Chiropractic Center 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.

  • 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

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!

Download & Print Form



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Office Hours

Our Regular Schedule

Monday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Tuesday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Wednesday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Thursday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Friday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Location

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Testimonials

Reviews By Our Satisfied Patients

  • "I was T-boned in a car accident and was having neck and back pain due to whip lash. Dr. Chase Vifquain was wonderful in treating both the initial pain and subsequent muscle issues. I wouldn't trust my neck to anyone else. He's the best out there."
    Kristen W.
  • "Dr Chuck , best in the country, 20 years no other chiropractor has made an adjustment on me."
    Vernon J.

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