Admitting Paperwork | LaBounty Family Chiropractic

We offer our paperwork online so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.


Patient Intake Forms

This lets us know what’s happened, but perhaps more important, where do you want to take your health? If you have any questions, please give our Ankeny office a call.
  

Download & Print Form 


Minor Consent Form

Consent to treat a minor child.
  

Download & Print Form 


 

Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.




Dr. Mike LaBounty
1810 SW White Birch Circle, Ste 110,
Ankeny, IA
Phone: (515) 965-8280

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