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402-339-2283 H
H

402-339-2283

Online Forms

Young Chiropractic & Rehabilitation Center, LLC 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.

For New Patients:

 For Returning Patients:

Exclusive Offer

Now Offering Spinal Decompression

Office Hours

DayMorningAfternoon
Monday6:30am-1pm3pm-6pm
Tuesday7:30am-1pm3pm-5pm
Wednesday6:30am-1pm3pm-6pm
Thursday7:30am-1pm3pm-5pm
Friday6:30am-1pm3pm-6pm
Saturday8:00am-12pmClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
6:30am-1pm 7:30am-1pm 6:30am-1pm 7:30am-1pm 6:30am-1pm 8:00am-12pm Closed
3pm-6pm 3pm-5pm 3pm-6pm 3pm-5pm 3pm-6pm Closed Closed