West Charleston Chiropractic
Dr. Kipling G. Hansen
Call Us at
(702) 877-6767
(702) 877-6767
6212 W Charleston Blvd #100, Las Vegas NV 89146
Email: drhansen6212@yahoo.com
New Patient Forms
New Patient Forms in Las Vegas, NV
In order to download the following forms, you'll need Adobe Acrobat Reader which you can download "FREE" at www.Adobe.com
New Patient Information Forms
Most Insurances are accepted, however there are a few that require these additional forms.
***Once you have completed your forms,
you can fax them directly to our office at fax:(702) 877-6434
or you can email your forms to drhansen6212@yahoo.com
and we'll have your paperwork ready when you come in for your first visit***
you can fax them directly to our office at fax:(702) 877-6434
or you can email your forms to drhansen6212@yahoo.com
and we'll have your paperwork ready when you come in for your first visit***
