Patient Center

To set up an appointment, please call Winterset: (515)-462-4981 & Earlham: (515)-758-6028

New Patient Forms

Ascherl Chiropractic & Wellness Center offers our patient form as a downloadable pdf so it can be completed in the convenience of your own home or office before your initial visit. It is important that full intake and history be done so we can get to know you better and provide you with an exceptional level of treatment based on your needs.

New Patient Form

Pediatric Form

Payment Options

We accept checks or cash.


We are no longer accepting insurance.