New Patient Forms

Thanks for becoming a new patient of Back2Health! Please download, print and complete the 2 pages below and bring them with you to your first visit. (And don’t forget to print out directions to our conveniently located, 78th and Dodge Street Omaha office.)

Page 1: B2H New Patient Datasheet (PDF File)
Page 2: Health Questionnaire (PDF File)


Aren’t a new patient yet? Make an appointment! Contact us today.

Our Contact Us page also includes the answers to frequently asked questions (such as the forms of payment we accept, office hours, etc.).

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