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Online Forms

Kauffman-Hummel Chiropractic Clinic offers our patient form(s) online so they can be completed it in the convenience of your own home or 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!

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Testimonials

Reviews By Our Satisfied Patients

  • "I have been going to Kauffman Hummel Chiropractic for years. I tell everyone if it was not for them I do not think I would be walking. I have terrible lower back pain and it goes into my legs. I can always tell when I need an adjustment, and after doing so I always feel like I am living again. Probably, (and don't tell him I said this) if I would listen to "Chiropractor Joe" I would feel even better if I would go more often. The membership plan they offer is very rewarding, because the more you use it the cheaper the rates for a visit become....It is definitely better than my insurance co pay for Chiropractic visits. The staff is very friendly and professional, but after time of going routinely, they become your family. I would highly recommend this Chiropractic office."
    Tammy Wilson
  • "I have benefitted tremendously from the chiropractic care I received from Dr. Anderson. Not only has the adjustments helped alleviate my stiffness and aches, but it has helped me have more energy and just feel more balanced over all. A few months ago, I was able to resume a favorite hobby of mine: golf. Due to my previous pain, I never thought that’d be possible."
    Back Pain