Natural Health Center PC Dr. Shawn Schmidt, DC
8001 Chicago, Omaha, NE
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In order to serve you better, please print and complete our 4-page New Patient Intake Questionnaire PRIOR to your arrival at the office.

Select from one of the following two options:

1) Download complete questionnaire in Adobe pdf format (the easiest and much-preferred download method!)

2) If you do not have Adobe pdf reader, you may view and print each page individually using these four links: Pages 1 | 2 | 3 | 4 . (Please click 'back' in your browser after opening and printing each page.)

If you have difficulty downloading, printing and completing the forms, please call Dr. Shawn Schmidt's chiropractic office in Omaha at 402-399-2020 for assistance.

new patient forms

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