Appointment Request

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.

ALL NEW PATIENTS MUST SCHEDULE THEIR FIRST VISIT.

First Name

Last Name

Phone Number

Email Address

Date and Hour for Requested Appointment (Please check our office hours)

Month

Day

Year

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

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

Please do not submit any Protected Health Information (PHI)

Our Locations

Northeast Wichita office at 34th and Woodlawn just north of 96 highway. Brick/stone building just east of Casey's gas station.

6432 E 34th Street N., Ste 110
Wichita, KS 67226
316-686-2020
info@pomeroychiropractic.com

Derby office just north of the K15 and Buckner intersection. We are in a yellow house across the street from Taco Bell.

946 North Buckner
Derby, KS 67037
316-686-2020
info@pomeroychiropractic.com

Sunday	At church
Monday	10:00 - 12:30 3:00 - 6:00
Tuesday	7:00 - 12:30 3:00 - 6:00
Wednesday at DERBY OFFICE	8:00 - 12:00 1:30- 5:30
Thursday	10:00 - 12:30 3:00 - 6:00
Friday	7:00 - 12:30
Saturday	closed

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Appointment Request

Date and Hour for Requested Appointment (Please check our office hours)

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Our Locations