The purpose of our office is to restore and maintain the health of our patients through natural, chiropractic methods. Please complete this confidential health questionnaire fully and accurately. The more we know about the overall picture of your health, the better we will be able to help you. Doctors of Chiropractic are trained to detect and correct vertebral subluxations. Please respond to this questionnaire thoroughly, to help us determine potential causes and effects of subluxations in your case. If you have any questions, please don’t hesitate to ask our chiropractic assistant for guidance.
Please complete the PDF form and bring it with you or fax to the office (705) 812-2576.