New Patient Paperwork

Hinze Chiropractic & Acupuncture offers our patient form(s) online so they can be completed in the convenience of your own home or office.

• The Pediatric Patient 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.

Please call our office at (402) 991-1101 to generate your individualized 6-digit PIN#. PIN# required for Online Paperwork.