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Practice Name

Dr. Connie's Chiropractic Center

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Primary Location
4101 West 54th Terr Ste B
Roeland Park, KS 66205
Phone: 913-384-5423
Fax: 913-384-2023

Office Hours

DayMorningAfternoon
MondayClosedClosed
Tuesday8:30 - 122 - 4:30
WednesdayClosed2 - 6
Thursday9 - 122 - 6
Friday8 - 122 - 4:30
SaturdayClosedClosed
SundayClosedClosed
Main Content

Dr. Connie's 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.

Patient Health History Form

Download & Print Form


Informed Consent Form

Download & Print Form


Patient Health Information Consent Form

Download & Print Form


Stress Assessment  

Download & Print Form


Toxicity Questionnaire  

Download & Print Form


Cancellation Policy  

Download & Print Form



Download the Free AdobeReader®

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Featured Services

Services We strive to provide complete care for our patients. Learn more about all the services we provide. Make An Appointment We will do our best to accommodate your busy schedule. Schedule an appointment today! Online Forms Our patient forms are available online so they can be completed in the convenience of your own home or office.

Testimonial

I am away at school in Seattle when I flew into KC for an adjustment from Dr. Connie. I knew Dr Connie could find the source of my pain. She is always attentive to my individual needs and makes her adjustments in the most mindful manner.

AD / Roeland Park, KS

Office Hours

DayMorningAfternoon
MondayClosedClosed
Tuesday8:30 - 122 - 4:30
WednesdayClosed2 - 6
Thursday9 - 122 - 6
Friday8 - 122 - 4:30
SaturdayClosedClosed
SundayClosedClosed

Contact

  • 4101 West 54th Terr Ste B Roeland Park, KS 66205
  • 913-384-5423
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