Call (402) 496-4570

What to Expect?

Many people are often overwhelmed, and maybe even nervous, when visiting a doctor for the first time.

Paperwork needs to be completed, an honest discussion needs to be had, and a determination of what is occurring will follow.

What you will find once visiting our office is that the stigma of a doctor is nowhere to be found. You will be welcomed with a warm greeting, you can complete the paperwork in the comfort of your own home (CLICK HERE), and we will simply have a conversation on strategies that will contribute to the quality of your life.

We have been in existence for many years in our beautiful community and after working with 1,000’s of people, we are confident that your experience in our office will be like nothing that has ever taken place in your life.

We have patients who frequently visit the practice because, “It just feels so right!” Therefore, we encourage you NOT to feel overwhelmed and NOT to be afraid because the relationship that you establish with Koca Chiropractic will be long lasting and provide you with everything you need when it comes to your health.

Our first visit is the information gathering time because this is where we begin with the question of ‘Why.’ This is foundational because it will offer our team an opportunity to gain an understanding for visit two and beyond. In the second visit, we will review all the information gathered in the first visit in order to develop a custom program for each person. In addition, we will answer any questions, while completely covering the costs of participation.

With this being said, we want to make sure that you know EXACTLY what to expect so we have decided to go into greater detail here:

  • We will perform a complete consultation in order to assess what you need in order to take you health to the next level.

  • We’ll report what we found and answer all your questions.

  • A typical visit will be much shorter, but just as important!

    We recognize that each person we support are extremely unique and different, which is why we consistently update and customize your wellness programs. We look forward to working with you so that YOU can live a life of complete health and vitality!

Tour of the Office

First Visit Forms

Koca Chiropractic Clinic offers our first visit forms here so you can complete them in the convenience of your own home or office.

– Save time
– More convenient
– More comfortable

Download the necessary forms, print them out and fill in the required information.
Fax us your printed and completed forms or bring them with you to your appointment.

Questions? Contact us at 402-496-4570 or Use the Form Below to Contact Us

Online and Downloadable Forms

New Patient Health History & Wellness Assessment Form

Required for your first visit

Click here to fill out your forms ONLINE!

It’s safe, it’s secure and it’s so easy!

Pediatric Form (10 Years and Younger)

If you would rather download and print your forms, click below. You can fax the completed forms to us, 402-496-8972 , or bring them with you!

Download and Print – CLICK HERE

If you do not already have AdobeReader® installed on your computer, Click Here to download.


Questions? Send us a Message!

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Are We Right For You?

We believe that in order to experience absolutely wonderful results in anything during your life, it is essential to establish synergistic relationships. We define SYNERGY as two or more independent agents working together, and as a result of this union, all agents achieve more as a unit than any of the agents could have achieved on their own.

With this being said, this is a value that we hold at the forefront of any patient relationship because if we believe that if we are not your IDEAL teammate on your quest to health, then we will happily refer you to someone who will play this role.

Therefore, we would be honored if you took the time to answer the questions here so that you can determine if what we deliver, is what you are looking to find.

10 Questions

  1. Are you willing to consider an all natural strategy to manage and eventually eliminate your condition?
  2. Do you believe that it is possible to find a cure for whatever it is that you are experiencing without pharmaceutical drugs?
  3. If we believe that a change in your diet would lead to a wonderful outcome, are you willing to do this?
  4. Are you open to trying a complete nutritional cleanse in order to reset your system?
  5. Do you battle with energy or digestive issues?
  6. Does your lack of mental clarity prevent you from accomplishing your goals?
  7. Have you tried a number of diets, but have yet to reach your IDEAL weight?
  8. Is your health your most precious asset?
  9. Have you been told that your condition is inevitable and does not have a cure?
  10. Are you willing to be open to chiropractic as YOUR SOLUTION?
If you answered “YES” to any of the questions from above, then we would like to invite you to fill out the online forms and to schedule your initial consultation today.

During the initial consultation, we will be able to objectively determine what you will need in order to meet and exceed your health goals. If we truly believe that a synergistic relationship is on the horizon, then we will educate you on what programs are IDEAL for you.

Our mission in practice is to help facilitate healing and optimal health for all that we encounter to help you live life to its fullest.

We are excited about the possibility of helping you.

  • Going the Extra Mile

    Not all chiropractor's are willing to go the extra mile like you are though and make sure they are available for their patients even when it might not be convenient for them. I told Tori that I had NEVER met anyone who was as passionate and loved what they do as much as you.

    Thanks for all the help!

  • You Changed My Life!

    Thanks for the inspiring note in the mail. Of all of the patients you have and as busy as you are, you took the time to send me a note in the mail believing in me. You're awesome.

    My life wouldn't be the same without you. I hope one day I can change a life like you've changed mine. You ALWAYS put life in perspective and I appreciate you.

  • Part of the Family

    I am struck by how at ease I am with you. You are great to my family, and I can never say thank you enough. I am still amazed at what you have done for my back, but also for our family's health. Your positive outlook on life, how you got to where you are, and the smiles on your face and the staff's ability to laugh, makes all the difference in my outlook. I look forward to walking in your door and seeing the "miles of smiles". Your much more than "our chiropractor", you are a part of our family.