Welcome to our New State of the Art Online Patient Forms Center.

Here you can conveniently complete your paperwork from any computer.

New Patient?

To access online forms you will need a PIN# and valid email address for your security.

Please contact Back in Motion Chiropractic at 913-962-6063 for your PIN#.

After you have received your PIN#, follow the steps for creating your personal ID login.

New Patient Forms Access

After receiving your PIN#, click on the link above to be directed to our new interactive patient web-based health records.

You can fill out new patient paperwork, enter all personal information such as email, contact information and insurance policies.

You can schedule appointments, as well as, cancel or reschedule.

We can notify you of upcoming appointments and classes via a simple email.

You can setup reminders for your appointments right from your account.

After you become a patient you can access your current health plan and recommendations from your home or office computer.

Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!