Health History and Future
This let’s us know what’s happened, but perhaps more important, where do you want to take your health?
If your health issue is the effect of an injury at work, this information will help us help you.
If your health issue is the effect of an injury suffered in an auto accident, this information will help us help you.
Neck Disability Index / Revised Oswestry Low Back Pain Questionnaire
If you have received chiropractic care elsewhere, or have medical records we will need from another practitioner, please sign this release.