office hours
  Morning Afternoon
M10am - 1pm3pm - 6:30pm
T10am - 1pm3pm - 6:30pm
W9am - 1pm3pm - 6pm
T9am - 1pm3pm - 6pm
F9am - 2pmclosed
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(816) 741-4711
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Online Paperwork

We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.


New Patient Registration and Intake Form

These documents let us know what’s happened, but perhaps more important, where you want to take your health!

 Download & Print Form


Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.



Fountain of Life Family Chiropractic | (816) 741-4711
8335 N. Congress Avenue, North Kansas City, MO