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1014 S. US Hwy 169 Smithville, MO 64089
(816) 532-2330
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Please arrive 10 minutes before your scheduled appointment to fill out all remaining paperwork and discuss your insurance information.

Please print and fill out the document below.

Download & Print Form


Frankum Chiropractic 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.

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