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Practice Name

21st Century Chiropractic

Primary Location
3600 S. Noland Road Suite I
Independence, MO 64055
Phone: 816-373-4223
Fax: 816-373-7264

Office Hours

DayOpenClosed
Monday9:00am6:00 pm
Tuesday2:00pm7:00pm
Wednesday9:00am6:00 pm
Thursday9:00am6:00 pm
FridayClosedClosed
SaturdayClosedClosed
SundayClosedClosed
Main Content

~~21st Century Chiropractic offers our patient form(s) online so they can be completed it 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!

https://www.mychirotouch.com/patientintake/?clientid=CC0084


Life Rising Consultation Form

Download & Print Form


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!

Download & Print Form



Download the Free AdobeReader®

Exclusive Offer

Free bottle of Biofreeze on your first visit! Just mention this ad!

Sign-up using the form or call us at 816-373-4223 to take advantage of this exclusive offer.

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Our Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

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Testimonials

Dr. Salm has been my chiropractor for 12 years. She has helped me through many physical ailments and a few personal ones too. Recently I had shingles in my throat,ear,head,and across the side of my face. Then bells palsy followed the shingles. Dr. Salm performed what I call miracles with acupressure and acupuncture. My medical doctor said Dr. Salm did what she couldn't do with all of her medicine.

- Barb G / Independence, MO

Office Hours

DayOpenClosed
Monday9:00am6:00 pm
Tuesday2:00pm7:00pm
Wednesday9:00am6:00 pm
Thursday9:00am6:00 pm
FridayClosedClosed
SaturdayClosedClosed
SundayClosedClosed

Request an Appointment

816-373-4223

Contact

21st Century Chiropractic
3600 S. Noland Road Suite I
Independence, MO 64055
Get Directions
  • Phone: 816-373-4223
  • Fax: 816-373-7264
  • Email Us
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Member Wellness