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Kirk Chiropractic offers our patient form(s) online so they can be completed it in the convenience of your own home or 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.

New Adult Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form

Pediatric Patients (13 yo & under) Health History forms

Download & Print Form

New Patient Automobile Accident Questionnaire 
Required for your first visit (if you are seeking treatment for an auto accident)

Download & Print Form

HIPAA Notice of Privacy Practices

Download & Print Form

Download the Free AdobeReader®

New Patient Info

Sign up using the form or call 918-272-6200 to make your appointment. Please do not leave solicitation messages on this page. This is ONLY for new patient appointment inquires. Thank you!!

THIS ---->https://drdarenkirk.com/new-patient-center/online-forms.html

Office Hours

Monday8:00am - 12:30pm3:00pm - 6:00pm
Tuesday8:00am - 12:30pm3:00pm - 6:00pm
Wednesday8:00am - 12:30pm3:00pm - 6:00pm
Thursday8:00am - 12:30pm3:00pm - 6:00pm
Friday8:00am - 12:30pm3:00pm - 6:00pm
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:00am - 12:30pm 8:00am - 12:30pm 8:00am - 12:30pm 8:00am - 12:30pm 8:00am - 12:30pm Closed Closed
3:00pm - 6:00pm 3:00pm - 6:00pm 3:00pm - 6:00pm 3:00pm - 6:00pm 3:00pm - 6:00pm


After 10 years and three chiropractors who couldn't or didn't really care, I finally found Dr Kirk and his team. Together they healed my back pain and restored my faith in their profession. Within thirty minutes i found out why I was hurting and within twenty four hours Dr. Kirk had a plan on how to make me better. I cant thank you all enough. I'm doing things I thought I would never be able to do again. I am eternally grateful. If you need help, give them a call, and you will actually get the, respect, concern, and care you need.

Dusty C.
Owasso, OK

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