1310 Washington Street

Pella, IA 50219 US

641-628-2099

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Online Forms

Van Hemert Chiropractic Family Wellness 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.

  • Print out and fill in the necessary forms.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

PatientHealthHistory.pdf

AdultConsultationHistory.pdf

PatientIntroduction.pdf

If you need to download Adobe Reader, click here


Sign up now or call us at 641-628-2099 to make your appointment!

Office Hours

Our Regular Schedule

Monday:

6:30 am

6:00 pm

Tuesday:

8:00 am

5:00 pm

Wednesday:

8:00 am

12:30 pm

Thursday:

8:00 am

6:00 pm

Friday:

6:30 am

12:00 pm

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Location

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Testimonial

  • "I saw Doc when I was a senior at central college. He really took great care of me and the patients received great treatments. I just graduated chiropractic school 6 months ago and want to thank Doc for the motivation to pursue chiropractic school."
    Joel M. / Pella, IA

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