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1219 Caledonia Street
Mankato, MN 56001

New Patient Forms

My son had been treated for a series of ear infections but his last one would not go away. He was on an antibiotic and if his symptoms didn’t improve, tubes were the next step. I was not ready for this, my son was only 20 months old, but didn't know what else to do. At the end of four weeks, my son was not sleeping, he constantly pulled at his ear saying “owie”, he was very crabby and not his happy self. A few friends had taken their children to a chiropractor and said it was like night and day, I decided to give it a try. After his 1st adjustment he was better, after his 2nd he was back to our normal boy! He was taking great naps, sleeping through the night, and no more pulling at his ears. My husband and I were so happy with the clinic's kindness to our son, he explained everything he was going to do. We are so happy with our decision to take our son to a chiropractor. Matthew’s mom, Patient since 2012
Matthew V
Mankato, Minnesota

Kinetic Spine & Sport offers our patient form(s) online so they can be completed in the convenience of your own home or office. 

  • All forms are PDF files. You will need AdobeReader® to view them…
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Email your completed form to info@kinetic-chiro.com  or bring your printed form to your appointment.

 

New Patient Form -Click Here to Download

 

New Patient Form (Ages 12 and under) -Click Here to Download