Chiropractic Therapeutic Massage Spinal Decompression Physical Therapy Post-Injury Rehabilitation Post-Surgical Rehabilitation

Tempur-Pedic™ Sleep Systems Custom Orthotics Nutritional Supplements

It hurts to wait. Fill these forms out in advance and reduce your wait time.

No one likes to wait. If you fill these forms out BEFORE your appointment, wait times are significantly reduced.

Note: Please SAVE the form to your computer before filling in any data. Then print the form and bring it to the office with you.

Returning Patients:

Current Complaint*

New Patients:

New Patient History Form (fill in Acrobat, then print) OR

New Patient History Form (print only)

Please fill out which form below is related to your current complaint, or both if applicable.

Low Back Pain History Form

Neck Pain History Form

Massage Therapy Form

Chiropractors Help With

Back Pain
Neck Pain
Stress
Shoulder Pain
Hip Pain
Tendonitis
Knee Pain
Sports Performance
Foot Pain
Sciatica / Leg Pain
Headaches
Sports Injuries
Arm & Hand Pain
Numbness / Tingling
Scoliosis
Injury Rehabilitation
Pregnancy
Osteoarthritis
Menstrual Pain