Online Forms

At Heiss Chiropractic and Acupuncture, we offer patient forms online so you can complete them in the convenience of
your own home or office. Fax us your printed and completed forms or you may bring them during your visit.

If you do not have AdobeReader® installed on your computer, Click Here to download.

WE ARE ALWAYS WELCOMING NEW PATIENTS
Dr. Heiss is in network with most major insurances, along with Medicare and Medicaid.
We also accept cash-paying patients.
Step 1
Schedule your appointment
on our site or by calling our office.
Step 2
Click below to complete the simple 
and easy to fill, new patient forms. 

Step 3
Save 10-15 minutes at your appointment by completing the new patient forms in advance.
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5455 Red Rock Lane Suite 17 Lincoln, NE

We Create Healthy Families!
You Deserve To Feel Great. We Can Help!
Dr. Nicholas Heiss D.C
5455 Red Rock Lane Suite 17 Lincoln, NE 68516
Hours: Monday - Thursday:
9:00AM - 1:00PM & 3:00PM - 6:00PM
Walk-ins Welcome!
© 2020 Heiss Chiropractic & Acupuncture,  All Rights Reserved