2281 So. 67th Street

Omaha, NE 68106 US

(402) 331-0392

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Printable Forms

Godfrey Chiropractic PC offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

Adult Health History

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Automobile Accident

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Pediatric New Patient Information

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Newborn Health History 0 – 2 months

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Infant Health History 2 months – 2 years

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Pre-school Child History 3 – 5 years

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School-age Child History 6 years and older

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Request Appointments | (402) 331-0392

Office Hours

Our Regular Schedule

Monday:

9:00 am-1:00 pm

3:00 pm-7:00 pm

Tuesday:

8:00 am-1:00 pm

3:00 pm-6:00 pm

Wednesday:

9:00 am-1:00 pm

3:00 pm-7:00 pm

Thursday:

8:00 am-11:00 am

3:00 pm-6:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Location

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Testimonial

Review By Our Satisfied Patient

  • "The staff is awesome and exceptionally friendly, the insurance process is clearly explained, and the facility is very nice.
    The appointments themselves are also top notch. Dr Godfrey addressed all of my concerns, including taking an X-ray to verify the issue, explaining the treatment and the rationale behind it, and the steps needed going forward. The last part is what I really respected- many physicians may extend treatment for the sake of more money, but Dr Godfrey was able to give me instant relief and required minimal follow ups which, to me, is indicative of an honest and professional practitioner. Overall I would highly reccomend Godfrey's staff, treatment, and service."
    Garrett U. / Omaha, NE
  • "During and after my pregnancy, I've seen Bruce and Kate. I always feel like a new person after each visit. My daughter, age 2 has also been a client since she was an infant. I always recommend Godfrey chiropractic."
    Bree C. /Omaha, NE

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