• 1349 NW 121st St #100 Clive, IA 50325
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(515) 270-2111
Phone Is Answered Live 24/7
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New Patient Special

Patient Intake Form

Patient intake forms help us at Hassel Family Chiropractic expedite the process of handling paperwork for new patients.

We appreciate you for taking time to fill these out. Simply check the 'Terms of Consent' box and click 'GET STARTED' to begin: 

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Ready To Find Out More Information?
New Patient Special
If you would like to schedule a new patient visit, feel free to call our office at (515) 270-2111 or, better yet, take advantage of our offer below.
Come see what we can do for you!
Hassel Family Chiropractic

1349 NW 121st St #100
Clive, IA 50325

Trusted chiropractor in Clive
HOURS
Monday
7:30 AM - 12:30 PM | 2:30 PM - 6 PM
Tuesday
7:30 AM - 12:30 PM
Wednesday
7:30 AM - 12:30 PM | 2:30 PM - 6 PM
Thursday
7:30 AM - 12:30 PM | 2:30 PM - 6 PM
Friday
7:30 AM - 12:30 PM
Saturday
CLOSED
Sunday
CLOSED
LOCATIONS
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