Impact Health NWA 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.
Please print and fill out ALL 3 of the above forms to help expedite your appointment! If you have any questions please feel free to cal at 479-254-3999.
New Patient Deposit Policy
We request a $50 deposit to schedule and reserve your first appointment. This deposit is applied to the cost of your first visit with us.
Should you need to reschedule or cancel your first appointment, the deposit is refundable if you call us within 48 hours of your appointment time. If we do not hear from you during this time period and you do not show up to your appointment your deposit is not refundable.
Thank you so much for your understanding as we value your business.