forms
Your First Visit:
Chiropractic Adult Intake Form: New Patient, 13years+
Chiropractic Pediatric Intake Form: New Patient, birth-12years
Current Patient Information Form: Established Patient, must complete prior to first appointment of 2012, provide Insurance Card and Photo ID at time of visit
Medical Release Form
Massage Intake Form
Auto Injury Intake Form
Health Appraisal Questionnaire: must complete prior to first Nutrition Counseling appointment
testimonial
After seeking medical solutions for my chronic (2 years) & severe neck, shoulder and arm pain a friend of mine referred me to Dr. Skow. I was desperate for a solution to my pain as I had tried every treatment modality possible over the past 2 years. Dr. Skow worked with me reviewing my life in a holistic manner: food intake, water intake, my sleeping position, appropriate vitamins, exercising, body cleansing, body mechanics, etc. After some intense treatment, my pain has been substantially decreased. I was impressed by Dr. Skow's holistic, determined treatment approach.
-Tracy Keninger
contact & hours
contact
Heartland Chiropractic and Wellness Center
5521 N.W. 86th Street
Johnston, IA 50131
515-252-8668
515-270-2457 (fax)
hours
Monday - Wednesday 8-6
Thursday 8 -8
Friday 8 - 4:30
Saturday 8- 12
health facts
75% of all deaths are lifestyle-related and preventable.
Five out of six people will develop and die from heart disease and cancer.
The United States consumes 60% of the world's drugs yet ranks 37th out of 39 industrialized countries in health.
Proper nutrition can help prevent and even reverse chronic conditions that lead to disease and disability.
