Accessibility View Close toolbar

Online Forms

Tallgrass Chiropractic offers our patient forms online so you can complete them in the convenience of your own home or office.

These forms let us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Please click on the link provided below to begin.  Fill out all the sections that apply to your individual situation.  To SIGN, use your computer mouse to create your signature.

Don't forget to hit the SUBMIT button at the very end!  Thank you!

https://www.mychirotouch.com/patientintake/?clientid=TCC0023


TROUBLESHOOTING

Why am I having trouble viewing the form (everything is pushed to the right side of the screen)? 

You must be running Internet Explorer 7 or above to properly view the ChiroTouch patient intake form.  Please call our office at 913-648-8600 if you encounter this problem.  We'll be glad to provide you with an alternate way to submit your information.


Contact Us Today

We look forward to hearing from you

Locations

Find us on the map

Office Hours

Our Regular Schedule

Primary Office

Monday:

9:00 AM-6:00 pm

Tuesday:

9:00 AM-6:00 pm

Wednesday:

9:00 AM-6:00 pm

Thursday:

9:00 AM-6:00 pm

Friday:

9:00 AM-1:00 pm

Saturday:

By Appointment

Sunday:

Closed