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Patient Forms

To save you time in our office, we have provided our office paperwork. Please download to your computer, print and fill it out completely before your first visit. If you have been in an auto accident, please also download and fill out the auto accident form.

Attachment	Size
New Patient Paperwork	194.89 KB
Auto Accident Form	240.38 KB

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Moss Family Chiropractic • 515 964-9114 • Copyright © 2011 All rights reserved.
Dr. Paul Moss is a Chiropractor professionally trained in Applied Kinesiology (AK).
He is experienced in the treatment of difficult cases of sciatic, disc cases, fibromyalgia, allergies, food sensitivities, peanut allergy, head, neck, back, hip, knee, foot, and muscle pain.
Dr. Moss is skilled at the safe treatment of pregnant, newborn, infant, pediatric, adult, athlete, injured, accident sufferers, post-surgical, acute and chronic pain.
Dr. Moss is proud to conveniently serve patients from the central Iowa communities of:
Ankeny, Des Moines, West Des Moines, Urbandale, Clive, Johnston, Polk City, Saylorville, Indianola, Altoona, and Ames.