5907 Ashworth Road, West Des Moines, IA 50266, USA

Online Forms

Langel Chiropractic Clinic, P.C. 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.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Forms - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!


Consent to Treat a Minor Form


Current Patient Update

CONTACT US TODAY

We look forward to hearing from you

Office Hours

Monday

9:00 am - 12:30 pm

2:00 pm - 5:30 pm

Tuesday

9:00 am - 12:30 pm

2:00 pm - 5:30 pm

Wednesday

9:00 am - 12:30 pm

2:00 pm - 5:30 pm

Thursday

9:00 am - 12:30 pm

2:00 pm - 5:30 pm

Friday

8:00 am - 11:00 am

Saturday

Closed

Sunday

Closed

Monday
9:00 am - 12:30 pm 2:00 pm - 5:30 pm
Tuesday
9:00 am - 12:30 pm 2:00 pm - 5:30 pm
Wednesday
9:00 am - 12:30 pm 2:00 pm - 5:30 pm
Thursday
9:00 am - 12:30 pm 2:00 pm - 5:30 pm
Friday
8:00 am - 11:00 am
Saturday
Closed
Sunday
Closed

Location

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