Back in Line Family Chiropractic & Wellness Marion, Cedar Rapids, Hiawatha, Fairfax IA
  • HOME
  • Meet the Team
    • Dr. Hannah Anderson
    • Dr. Sam Kennedy
    • Dr. CJ Kleene
    • Dr. Nate Weber
    • Julie Daughetee - Business Office Manager
  • Treatments and Services
    • Chiropractic >
      • What is Chiropractic?
      • Kids and Chiropractic
      • Pregnancy and Chiropractic
      • Athletes and Chiropractic
    • Sport + Rehab + Physio Central >
      • Active Release Technique
      • Graston
      • Trigger Point Dry Needling
      • FMS - Functional Movement Screen
      • SFMA - Selective Functional Movement Assessment
      • Kineso/Spider Tech Taping
      • Active Therapy
      • Passive Therapy
    • NET: Neuroemotional Technique
    • IR Sauna
    • Acupuncture
    • Functional Medicine >
      • Women's Health & Wellness Planning
      • Food Allergies & Intolerances
      • Nutritional Status Testing
      • Neurotransmitter Testing
    • Corporate Wellness >
      • 21-Day Salad Challenge
      • 21-Day Juicing and Smoothie Challenge
    • Health Library >
      • ADHD
      • Autism
      • Allergies
      • Auto Accidents
      • Back Pain
      • Bed Wetting
      • Ear Infections
      • Pinched Nerves
      • Pregnancy
      • Vaccines
  • New Patient Intake Forms
  • Location and Hours
    • Schedule an Appointment
    • Email Correspondence Policy

THE BACK IN LINE NEWSLETTER

New Patient Intake Forms
If you have a problem from the chest up - please fill out the neck pain Q.
​
If you have an issue from the chest down - please fill out the low back pain Q.

New patient/pediatric/sports physical intake paperwork

npintake_adult_99ncpoint.doc
File Size: 260 kb
File Type: doc
Download File

new_patient_intake_pediatric_.pdf
File Size: 1298 kb
File Type: pdf
Download File

Neck/Low back pain questionnaires:

Back Pain Questionnaire
File Size: 78 kb
File Type: pdf
Download File

Neck Pain Questionnaire
File Size: 76 kb
File Type: pdf
Download File


Sports physical - IHSAA
File Size: 42 kb
File Type: pdf
Download File


Wellness Planning

If you are interested in issues that may be related to:
Low energy/fatigue, metabolism, nutrition, gut/digestion issues:

 Thyroid Health Evaluation
Thyroid Questionnaire
File Size: 405 kb
File Type: pdf
Download File

 Hormone Health Evaluation
Hormone Questionnaire
File Size: 317 kb
File Type: pdf
Download File

Adrenal Health Evaluation
Adrenal Health Questionnaire
File Size: 260 kb
File Type: pdf
Download File

Toxicity/Inflammation 
Dietary Inflammatories Questionnaire
File Size: 393 kb
File Type: pdf
Download File


Past Newsletters 

bilfallnewsletter2015.pdf
File Size: 10049 kb
File Type: pdf
Download File

springnewletter2015.pdf
File Size: 10213 kb
File Type: pdf
Download File

Back In Line Summer 2015 Newsletter - NEW!
File Size: 6115 kb
File Type: pdf
Download File

bilyearendnewsletter2014.pdf
File Size: 1837 kb
File Type: pdf
Download File

summernl2014.pdf
File Size: 4213 kb
File Type: pdf
Download File

spring2014nl.pdf
File Size: 1870 kb
File Type: pdf
Download File

newsletterthanksgiving2013.pdf
File Size: 2564 kb
File Type: pdf
Download File

Summer Newsletter 2013
File Size: 6443 kb
File Type: pdf
Download File

Spring Newsletter - 2013
File Size: 962 kb
File Type: pdf
Download File

bilnewsletterfall2014_cjsedits3.pdf
File Size: 1308 kb
File Type: pdf
Download File

mealprepaug14.pdf
File Size: 157 kb
File Type: pdf
Download File

Spring Newsletter - 2012
File Size: 5509 kb
File Type: pdf
Download File

Fall Newsletter 2012
File Size: 2528 kb
File Type: pdf
Download File

Fall Newsletter - 2011
File Size: 11753 kb
File Type: pdf
Download File

Spring/Summer Newsletter - 2011
File Size: 2300 kb
File Type: pdf
Download File

Winter/Spring Newsletter - 2011
File Size: 7148 kb
File Type: pdf
Download File

Holiday Hours & Specials
File Size: 194 kb
File Type: pdf
Download File

Aflac Forms 

Effective 2/1/16.  Due to the AFLAC policies needed HCFA forms, their will be a $20 admin fee for the time required to fill out these forms for each patient.
​Patient's with AFLAC insurance policies should come with paperwork filled out prior to appointment and should demonstrate in detail the accident in which they are filing the claim.  If patient requests a physicians signature several days after treatment was rendered, it will be evaluated on a case-by-case basis and the patient may see a processing fee or administrative fee.  
Aflac Accident Forms
File Size: 49 kb
File Type: pdf
Download File

99 North Center Point Road. Hiawatha, IA 52233 
319.892.3363

Mission:
Make Healthy Contagious.  Help support and encourage those around us to make lifestyle choices to improve their quality of life. Have fun, work hard, play hard, be contagious. 
Vision:
Brand a group of uniquely skilled providers and team members to work alongside of each other keeping the patients best interest at heart in all interactions. Getting the patients well, meeting and exceeding their expectations, and from a cohesive network of trust and respect. 


WEBSITE DISCLAIMER
The contents of this website including text, graphics, images, and other materials are provided for informational purposes only and is not intended to be a substitute for professional health advice, diagnosis, or treatment.


​CHIROPRACTOR CEDAR RAPIDS, MARION, HIAWATHA AND FAIRFAX

COPYRIGHT MYBACKINLINE.COM
  • HOME
  • Meet the Team
    • Dr. Hannah Anderson
    • Dr. Sam Kennedy
    • Dr. CJ Kleene
    • Dr. Nate Weber
    • Julie Daughetee - Business Office Manager
  • Treatments and Services
    • Chiropractic >
      • What is Chiropractic?
      • Kids and Chiropractic
      • Pregnancy and Chiropractic
      • Athletes and Chiropractic
    • Sport + Rehab + Physio Central >
      • Active Release Technique
      • Graston
      • Trigger Point Dry Needling
      • FMS - Functional Movement Screen
      • SFMA - Selective Functional Movement Assessment
      • Kineso/Spider Tech Taping
      • Active Therapy
      • Passive Therapy
    • NET: Neuroemotional Technique
    • IR Sauna
    • Acupuncture
    • Functional Medicine >
      • Women's Health & Wellness Planning
      • Food Allergies & Intolerances
      • Nutritional Status Testing
      • Neurotransmitter Testing
    • Corporate Wellness >
      • 21-Day Salad Challenge
      • 21-Day Juicing and Smoothie Challenge
    • Health Library >
      • ADHD
      • Autism
      • Allergies
      • Auto Accidents
      • Back Pain
      • Bed Wetting
      • Ear Infections
      • Pinched Nerves
      • Pregnancy
      • Vaccines
  • New Patient Intake Forms
  • Location and Hours
    • Schedule an Appointment
    • Email Correspondence Policy
✕