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Online Forms

Lott Chiropractic Clinic offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

New Patient Intake Form
Please complete this form prior to your appointment. This lets us know the history and current state of your health, as well as the reason for your visit with us.

New Patient Electronic Health Record Form

Please complete this form prior to your appointment. This gives us some basic demographic information.

New Patient Privacy Form
Please read over this sheet, as well as list any relatives or friends whom you would like to be able to access your Protected Health Information. Once complete, please print and sign your name at the bottom. By signing this form, you are attesting that you have reviewed our complete HIPAA Privacy Policy (link below).

HIPAA Privacy Policy (Updated 10/21/2017)
Please read this Policy, and sign the "New Patient Privacy Form" (link above). There is no need to print this document, unless you would like to retain it for your records.


Off of A Street take the 2nd driveway East of 70th and A. Park and enter on the East side of the 7111 Building.

Office Hours

Our Regular Schedule

Lincoln Office


8:00 am-12:00 pm

2:00 pm-5:30 pm


8:00 am-12:00 pm



8:00 am-12:00 pm

2:00 pm-5:30 pm


8:00 am-12:00 pm

2:00 pm-5:30 pm


8:00 am-1:30 pm






Reviews By Our Satisfied Patients

  • "They are always so friendly. Dr. Lott is always very thoughtful and considerate. He spends time with you and makes sure he does a great job."
  • "Dr. Lott does great work! my back was killing me for a week before I finally made it in to see him, should've done it sooner but I'm stubborn... such a great family friendly office, I highly recommend!!!"
    Trenton W.