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Whether you are suffering from back pain, neck pain, headaches, or even just plain old muscular tightness and tension, Ricketts Chiropractic is here to provide you with treatment options.

Specialized treatment plans for whiplash, auto accidents, lumbar and cervical disc issues, and spine arthritis.

CALL (563) 588-0500 to schedule an appointment!

Online Forms

Ricketts Clinic of Chiropractic offers our patient form(s) online so they can be completed 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 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


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