(515) 267-1600

5907 Ashworth Road

West Des Moines, IA

Phone

515-267-1600

Imagine your life without physical restraints.

Fill out the form below and we will be in touch
to find the next available appointment for you.

FAX

515-267-1700

Online Forms

Langel Chiropractic Clinic, P.C. 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.

 

New Patient Health History Form

Required – Download & Print Form

Consent To Treat A Minor

Download & Print Form

Current Patient Update

Download & Print Form

Additional Information

  • 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.

Schedule an Appointment

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