Need to make an appointment? For your convenience, you can use this online appointment request form. If your needs are urgent or if you prefer, you may contact the office at 785-246-6927. Well Balanced Chiropractic cannot guarantee an appointment at the time you've requested, but we will do our best to accommodate your request. We will call you back or send an email to confirm your final appointment time and provide any additional information you might need. 

Name *
Name
Phone *
Phone
Please provide the best number to reach you.
Preferred Time of Day *
Please select if you prefer an AM appointment or PM appointment.
Preferred Time
Preferred Time
If you have a preferred appointment time, please indicate as such on this section. Please note, we may not be able to schedule you at this time and appreciate your understanding.
Preferred Day of Week *
Please select all that apply, and indicate any preferences in the messages section below.
Please specify if you are new to Well Balanced Chiropractic so we can schedule the correct time slot.
Date of Birth (New Patients Only)
Date of Birth (New Patients Only)
If you are a new patient, we need your date of birth to set you up in the system.
Please include any additional information, notes, or indicate if additional therapies are included in your treatment plan to ensure we schedule the correct amount of time for your appointment.