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Patient Intake Forms

Download, print and fill out our paperwork in the comfort of your home.

Click the download button below to download our paperwork as a PDF Document and simply bring them with you to your next visit with Dr. Gill.

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It's free, safe, and takes less than 2 minutes.

Have A Question About Being a New Patient? 620-669-8000

  • Intake Forms

    Download and Print our intake forms.

  • My First Visit

    What to expect at your first visit.

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    Affordable care for everyone.

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Matt Willow

From the time I walked in the door I was impressed! I was seen promptly, and Dr. Gill was a true professional. When I was younger I was in a car accident and have been suffering with neck and back pain. Almost to the point that I couldn't get out of bed! After 6 treatments I started to see relief, and today it's like the accident never happened. I've been seeing Dr. Gill for about 2 years now and I am so excited about the future!

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