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Online Forms

New Patient Form

Impact Health NWA 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.

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!

New patients, click here and submit this form before your appointment!

New Patient Deposit Policy

We request a $50 deposit to schedule and reserve your first appointment. This deposit is applied to the cost of your first visit with us.

Should you need to reschedule or cancel your first appointment, the deposit is refundable if you call us within 48 hours of your appointment time. If we do not hear from you during this time period and you do not show up to your appointment your deposit is not refundable.

Thank you so much for your understanding as we value your business.

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Office Hours

Our Regular Schedule

Impact Health NWA


8:30 am-11:30 am

1:30 pm-5:30 pm


1:30 pm-5:30 pm


8:30 am-11:30 am

1:00 pm-5:30 pm


1:30 pm-5:30 pm


8:30 am-11:30 am

12:30 pm-3:00 pm