Request an Appointment

Schumacher Family Chiropractic
712 Court Street
Harlan,, IA 51537
712-235-6040
drdan@chiro4life.org
*Indicates a Required Field

Please view our office hours and then fill in the following form to request an appointment. You will receive a confirmation call to verify, before any appointment is scheduled.

*First Name
*Last Name
*Phone
format: XXX-XXX-XXXX
*Email Address


Date and Hour for Requested Appointment

*Select Hour *AM/PM

*Please tell us if you are a current patient, or are requesting to become a new patient.
I am a current patient at your office
I am looking to make an appointment to become a new patient


Optional Short Comments or Message

For verification purposes, please type in the numbers and letters that you see below then press the Send Request button.

NOTE: You do not have a scheduled appointment until we can call you and verify this appointment request.

               

Monday
9am - 1pm, 4pm - 6pm
Tuesday
9am - 1pm, 2pm - 4pm
Wednesday
9am - 1pm, 4pm - 6pm
Thursday
9am - 1pm
Friday
9am - 1pm, 4pm - 6pm
Saturday
9am - 11am
Sunday
Closed

March CLOSING:

Thursday March 25th