New Patient Paperwork

Ver Helst Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.


8:00am - 6:00pm

8:00am - 1:00pm

8:00am - 6:00pm

8:00am - 6:00pm

8:00am - 1:00pm

Chiropractic Ames IA Ver Helst Chiropractic Logo

Ver Helst Chiropractic
1618 South Duff Avenue
Ames, IA 50010
(515) 233-1866

"Always fixes the problem, no matter how complex. Thanks, Kurt!"

- Ryan M.

"Dr Ver Helst is Great. He relieved the pain in my hip almost immediately."

- Deanna S.

"Doc Kurt is amazing, he has been adjusting my whole family for my whole life."

- Danielle B.