2421 23rd St, Columbus, NE, 68601, US

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Forms

Hinze 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!

SAME DAY APPOINTMENTS AVAILABLE.

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2421 23rd St 
Columbus, NE
68601

Mon: 9:30am–12:30pm
        3:00pm-6:00pm
Tues: 9:30am–12:30pm
        3:00pm-6:00pm
Wed: 9:30am–12:30pm
        3:00pm-6:00pm
Thurs: By Appointment Only
Fri: Closed
Sat: Closed
Sun: Closed

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