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PI/WC/AUTO Paperwork

Below you will find our paperwork for workman's comp, personal injury and auto accidents. 

Please fill out the following as thorough as possible. The more information you give, the better we can serve YOU! Please call or text 402-372-0166 with any issues. 

Let’s Work Together

Get in touch so we can start working together.

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Thanks for submitting!

CONTACT

US

Tel. 402-372-0166
Fax. 402-372-0177
131 S. Main Street | West Point | 68788
hello@cultivatechiroandwellness.com​

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TELL
US

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Prior to leaving a review. If you had any issue with our office or our doctors please let us know so that we can have a chance to resolve this issue and continue to serve you and your family with the best care possible!

VISIT
US

Monday: 9:00 - 5:00 pm

Tuesday: 9:00 - 6:00 pm

Wednesday: 9:00 - 5:00 pm

Thursday: 2:00 - 7:00 pm

Friday: 9:00 - 4:00

Saturday: by appt only 

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Sunday: *closed for worship and family time*

*appts available outside of these hours by request only for emergent situations (additional fees may apply)

 

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© 2016 by  - CCWP & Dr Chelsie DC

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