New Patients



Thank you for choosing De Jong Chiropractic! We’re excited to work alongside you on the road to recovery and better health! Our family-oriented  care ranges from chiropractic adjustments to acupuncture and therapeutic exercises.

Here are a few forms you are welcome to fill out ahead of time, prior to your first visit with Dr. De Jong. If you need to schedule an appointment, please give us a call at 712.737.9100.

Tell us about you!

We need some information before we get started, so please be as thorough as you can so that we can provide the right treatment for you!

New Patient Forms
Guaranteed Privacy

We take your privacy seriously! We follow strict HIPAA Guidlines, ensuring that your medical and treatment information remains confidential.

HIPAA Agreement

What to Expect

Chiropractic care is often new for many patients. On your first visit, you can expect to have an initial consultation with Dr. De Jong to walk through your medical history and an exam to determine what treatment would best suit your needs. Prior to your consultation and exam, you will need to fill out your New Patient Forms, if you haven’t done so already with the links provided above.