Forms & Fees

Filling out the New Patient paper work in advance will save you about 15 minutes in the office.  We value your time and greatly appreciate the opportunity to help.

Most AUTO accident injuries are covered at 100% by insurance. 

Dr. Dopps is in network with most all health insurance companies.

FSA/HSA (Flexible Spending Account and Health Savings Accounts) do cover chiropractic care.

If you have any questions, please call our specialized staff at (316) 265-1575 Dr. Matt Dopps is conveniently located at: 555 N. McLean Blvd STE 201 Wichita, KS We look forward to helping you!

New Patient Forms

(ages 13 and older):

• Health Analysis Form
• Consent Form
• HIPAA

Pediatric Patient Forms

(for children age 0-12, please print and fill out the following):

• Children's Health Analysis Form
• Minor Consent Form
• HIPAA

Personal Injury Forms

If you have been in an AUTO accident or injured at WORK:

• Health Analysis Form
• Auto / Work Comp Questionnaire
• Consent Form
• Letter of Protection
• HIPAA

Fee Schedule:

• Fee Schedule Form