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NEW PATIENTS

We are always accepting new patients, and same-day appointments are available. 


Call (319)-393-4303 to schedule an appointment. If you are a new chiropractic patient, you may complete the forms below prior to coming in.  Paper forms are available as well from the front desk. All new patients will need to sign the HIPPA and Consent forms prior to being seen.


For SoftWave Therapy please call (319)-393-4303 to schedule your first appointment.

We look forward to welcoming you to our chiropractic office in Cedar Rapids.


Paperwork

New Patient Forms

If you are new to the office complete the new patient forms found on this page. You can also download, print, and fill them out and bring them to your first appointment. This will save you 15-20 minutes in the office. If you are unable to print the forms, we also have them available at the front desk. If the appointment is for a child (2 and under), please fill out the forms labeled “Pediatric Intake Paperwork". Please fill out the forms completely and as accurately as possible.


If this is for a work injury or auto accident, please also fill out the additional accident form as well. You may also scan the filled-out paperwork and email them back to us ahead of time at jenkinschiropracticandwellness@gmail.com.

Adult Paperwork (Ages 3 & Up)

New Patient Paperwork 2023 (Must be completed on a computer, NOT a phone.)

Pediatric Paperwork (Ages 0-2)

Pediatric Intake Forms    (Must be completed on a desktop, not a cellular device.)

Auto Accident or Work Injury Paperwork

If you have been involved in a car accident or work injury, please bring in the additional form listed below, as well as the normal adult paperwork listed above. If you have been involved in an auto accident, please bring your car insurance ID card as well.

Accident Questionnaire

Insurance Information

We currently accept all major insurance plans that will allow us to be in network with them. This includes Blue Cross Blue Shield, United Health Care, Medicaid, Medicare, Molina, Amerigroup, Iowa Total Care, Cigna, Aflac, Preferred One, UMR, and many other small companies. We do not accept Coventry.

Appointment Request

Please fill out this form and we will contact you about scheduling. Questions? Call (319) 393-4303

Contact Us

Patient Reviews
When I came to Dr. Jenkins I was in a lot of pain. I was a new patient and he was very welcoming along with his staff. After a few short weeks with Dr. Jenkins I am feeling so much better. He was very knowledgeable about my condition and was able to give me information to help myself at home to help get me back to normal. Thank you so much Dr. Jenkins for taking such good care of me!!!
Rachel Groves
Patient Reviews
Jenkins chiropractic has been a godsend as far as I am concerned. Found them on the Internet, and haven’t looked back since. Dr. Jenkins is very kind and attentive and makes sure his patients are always comfortable. The receptionist is wonderful as well as she is always friendly and waiting with a bright smile. Thank you Jenkins Chiropractic!
Katricia Cortez
Patient Reviews
I have been seeing Dr. Jenkins for 3+ years now. He helped me get through my first pregnancy and I’m currently under his care for my second. He lets me come in with little to no notice which is very convenient. Such a warm and inviting atmosphere when you walk in the door. Don’t go anywhere else especially for prenatal and postnatal care!
Brittney Hoffman
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