

Dr. Jason Hutchison & Dr. John Krim
1512 NE 96th St, Ste A
Liberty, MO 64068
P: 816-407-7200
F: 816-407-7222
You may also contact us by text at our Phone #:
816-407-7200
Paperwork
All Patients are required to have new or updated (if not seen for a while or presenting with a new condition) paperwork completed before they are seen by our Doctor. If you are unable to complete our paperwork and submit it to us online before your appointment, you may either print it from below and bring it with you to your appointment completed, or arrive 30 minutes (for New Patient) or 10 minutes (for Established Patient) prior to your appointment to complete it in our office. Patient's that arrive late without completed paperwork may be rescheduled.
Choose the Paperwork option below that is most appropriate for your scheduled visit:
(Elija la opción de papeleo a continuación que sea más apropiada para su visita programada):
Chiropractic Patient Paperwork
Online
Online
Online
not
Available
New Chiropractic Patients-(Adults & Children 12 years & older)
(Never been seen as Chiropractic Patient or it's been over 3 years)
Printable
Printable
New Chiropractic Patients-(Children 12 years old & younger)
(Never been seen as Chiropractic Patient or it's been over 3 years)
Nuevos Pacientes Quiroprácticos (Adultos y Niños de 12 años en adelante)
(Nunca he sido visto como paciente quiropráctico o han pasado más de 3 años)
Printable
Online
Reactivation for Established Patients
(Previously seen but it's been a while or has a new condition)
Printable
TRT Softwave Therapy Paperwork
Online
Online
New Softwave Therapy (TRT) Patients
(Being seen for the 1st time for TRT Treatment or for a New Condition)
Printable
Nuevos Pacientes de Terapia Softwave-Versión en Español
(Ser visto por 1ª vez para el tratamiento de TRT o para una nueva afección)
Printable
Please take a moment to read through our Privacy Practices. If you have any questions please let us know.