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    • Home
    • SEMINAR DATES & LOCATIONS
    • REGISTER FORM
    • ON-LINE REGISTRATION &PAY
    • DISTANCE LEARNING ON-LINE
    • FACULTY
    • CHIRO OFFICE FORMS & MORE
    • DOT INFORMATION
    • DOT INFORMATION
    • CONTACT US
    • SEMINAR QUESTIONS
    • ENJOY OUR SEMINARS
    • Seminar Speaker Schedule
  • Home
  • SEMINAR DATES & LOCATIONS
  • REGISTER FORM
  • ON-LINE REGISTRATION &PAY
  • DISTANCE LEARNING ON-LINE
  • FACULTY
  • CHIRO OFFICE FORMS & MORE
  • DOT INFORMATION
  • DOT INFORMATION
  • CONTACT US
  • SEMINAR QUESTIONS
  • ENJOY OUR SEMINARS
  • Seminar Speaker Schedule

Chiropractic Forms

Informed Consent Form Chiros (pdf)Download
dmv APPLICATION DISABLED PERSON PLACARD (pdf)Download
THE-CHIROPRACTIC-SATISFACTION-QUESTIONNAIRE (pdf)Download
CarpalTunnelQuestionnaire (1) (pdf)Download
507_shoulder_pain (pdf)Download
DASH_disability arm shoulder and hand (pdf)Download
upper_extremity funtional index (pdf)Download
low back pain disability questionnaire (pdf)Download
neck disability index (pdf)Download
headache disabikity index (pdf)Download
dallas pain questionnaire (pdf)Download
Quadruple-VAS (pdf)Download
THE-MCGILL-PAIN-QUESTIONNAIRE (pdf)Download
SYMPTOM-DIAGRAM randsford (pdf)Download
fee schedule (jpg)Download

More Info and Sponsors

Board of Chiropractic Examiners

Board of Chiropractic Examiners

Board of Chiropractic Examiners

The mission of the Board of Chiropractic Examiners is to protect the health, welfare, and safety of the public through licensure, education, and enforcement in chiropractic care.

for more information

www.RechargePulseWave.com

Board of Chiropractic Examiners

Board of Chiropractic Examiners

ReCharge Pulse Wave is based on the concepts, methods and products used by Dr. Larry Basch, the U.S. Marine Corps Sports Chiropractor.

You can learn about PEMF, WBV, Shockwave, Laser and more. 

for more information

Fisher Traction

Board of Chiropractic Examiners

Cleveland University - Kansas City

 Meet Dr. Jeff Fisher

Chiropractor, Inventor, and Founder of Fisher Traction

Hi, I’m Dr. Jeff Fisher, a chiropractor with over 30 years of experience helping people overcome pain and get back to living their lives. The idea for Fisher Traction came from my own personal struggle. After suffering a severe spine-related sports injury, I was in unbearable pain and couldn’t sleep for days. Desperate for relief, I hand-crafted the very first prototype of what is now one of the safest, strongest, and most effective neck traction devices for home use.

This journey became even more personal when both my wife and our two sons developed herniated discs. Seeing their pain motivated me to expand on the concept and create the Fisher Traction Lower Back Device.

Over several years, I refined the designs, tested the products, and secured patents to ensure they were safe, effective, and easy to use.Today, Fisher Traction has helped over 50,000 people find relief from pain in the comfort of their own homes. It’s incredibly rewarding to know that what started as a solution for my own pain has made such a positive impact on others. My mission is simple: to give people a reliable, professional-grade tool they can trust to feel better and live healthier, pain-free lives.

fisher chiro form cover (1200 x 628 px) (500 x 200 px) (Email Header).png__PID:b447b984-e0f1-4648-8227-1b6709f15878

Doctor of Chiropractic
Inventor & Founder of Fisher Traction

for more information

Cleveland University - Kansas City

Cleveland University - Kansas City

Cleveland University - Kansas City

Cleveland University-Kansas City began as a chiropractic college in 1922, its roots planted by pioneers in the profession. The institution is proud to be recognized as one of the oldest nonprofit chiropractic colleges in the nation. Dr. Carl S. Cleveland III, president, a third-generation chiropractor, and the grandson of the founders, leads the University.

for more information

Palmer College of Chiropractic

Cleveland University - Kansas City

Palmer College of Chiropractic

At Palmer College of Chiropractic, the first and largest chiropractic college, you can count on excellence in teaching and real-world preparation. You'll experience an academic program that blends theory with hands-on clinical skills designed to prepare you for success in your professional practice.

for more information

KLM Orthodics

Cleveland University - Kansas City

Palmer College of Chiropractic

Presently, KLM Laboratories is one of the most successful manufacturers of foot orthotics and ankle foot orthotics in the world.  And we are delighted to be the primary provider of foot and ankle orthotics to podiatrists, medical doctors, orthotic and prosthetic technicians, pedorthists, physical therapists, and chiropractors.  KLM’s products

for more information

FMCSA - Medical Examiners DOT

 

History

The Federal Motor Carrier Safety Administration (FMCSA) was established within the Department of Transportation on January 1, 2000, pursuant to the Motor Carrier Safety Improvement Act of 1999 (49 U.S.C. 113). Formerly a part of the Federal Highway Administration, the Federal Motor Carrier Safety Administration's primary mission is to prevent commercial motor vehicle-related fatalities and injuries. Activities of the Administration contribute to ensuring safety in motor carrier operations through strong enforcement of safety regulations; targeting high-risk carriers and commercial motor vehicle drivers; improving safety information systems and commercial motor vehicle technologies; strengthening commercial motor vehicle equipment and operating standards; and increasing safety awareness. To accomplish these activities, the Administration works with Federal, State, and local enforcement agencies, the motor carrier industry, labor and safety interest groups, and others.

FOR MORE INFORMATION

COVID 19 - CDC Guidelines FORMS

health questionaire chiro clinics (docx)Download
10 THINGS THAT YOU CAN DO MANAGE COVID AT HOME (pdf)Download
PREVENTE SPREAD COVID IF AT RISK (pdf)Download
SOCIAL DISTANCING COVID (pdf)Download
CLEAN HANDS COVID (pdf)Download
MAINTAIN SAFE PRACTICE COVID (pdf)Download
WE ARE OPEN COVID (pdf)Download
KEEP EVERYONE SAFE COVID (pdf)Download
covid prevention measures (pdf)Download
COVID HOW TO WASH HANDS (pdf)Download
covid office notices to use SEMINAR BY DR P (pdf)Download

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