New Patients
Ebert Chiropractic Clinic
1445 Ansborough Ave.
Waterloo, IA  50701

(319) 232-9436
New Patient Intake Forms

For the convenience of our patients, we have added our new
patient intake forms for patients to print out and fill in before
your initial visit.  Don't worry if you have questions or
misunderstand a question!  Leave it blank and your doctor
will help you finish the paperwork when you arrive.  

We are providers for almost every insurance plan in our
community that offers Chiropractic benefits.  If you are
concerned about insurance coverage please call our
wonderful staff at (319) 232-9436 and they will be able to
help you, or contact the number on the back of your
insurance card.