New Patient Online Forms

Your health, wellness, and personal goals are important to us as well as your health information. Please take the time to complete and sign the required paperwork below. In order to have the most efficient experience, please complete these documents prior to your first appointment. Pre-completing these documents allows our staff and doctors to assist you properly and promptly.

Required Paperwork

Note that New Patients will be required to fill out our New Patient Health History Form.  Upon scheduling your appointment, you will receive an email with our initial intake forms.  Please complete the intake forms at your earliest convenience.
We look forward to helping you move healthy, feel healthy, and live healthy!

Schedule an Appointment

Optional: Media Release Form

Print only for your records: Patient Privacy Policy

If you have any questions or concerns while filling out the new patient paperwork, feel free to give us a call via the contact information on this page.

 

 

Contact Information

Email Address:
info@ictmjc.com

East Location
Address:
7829 E Rockhill St #303
Wichita, KS 67206

Phone:
(316) 854-3010

West Location
Address:
7330 W Maple St #120
Wichita, KS 67209

Phone:
(316) 854-3525

Hours of Operation:
Mon, Wed, Fri: 8am - 6pm 
Tue, Thurs: 2pm - 7pm
Sat: By Appointment Only

Move HEALTHY.               Feel HEALTHY.              Live HEALTHY.