Let us know you're interested in on-site chiropractic care!

We're offering convenient, 10-minute visits during work hours at your PK Midwest location. If enough employees sign up, you'll get a link to schedule your visit. No travel, no hassle — just great care at work.

First Name *

Last Name *

Email *

Phone *

PK Midwest Location

Time Preferance

9:30-11:00

11:30-1:00

1:30-3:00

3:30-5:00

Want text notifications?

Yes

No

Have you had chiropractic care before? *

Yes

No

Interested In Shockwave Therapy?

Yes - Add to my adjustment ($35 dollars)

Yes - Shockwave only ($50)

Not Sure Yet

No Thanks

What is your primary health goal(s) OR what is your major pain / concern

Pricing Model

I Consent to Receive SMS Notifications, Alerts from Total Health Chiropractic.

Message frequency varies. Message & data rates may apply. Text HELP to (319) 338-7025 for assistance. You can reply STOP to unsubscribe at any time.

By checking this box I agree to receive occasional marketing messages from Total Health Chiropractic.

TERMS AND CONDITIONS | PRIVACY POLICY