The Monroe Chiropractor to see - Chiropractor Monroe

Your Health History

We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.

New Patient Form

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?
 Download & Print Form

Personal Injury

If your health issue is the result of a non-work related accident, we need some additional information.
 Download & Print Form

Worker’s Compensation

If your health issue is the effect of an injury at work, this information will help us help you.
 Download & Print Form

Free AdobeReader®

Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.



Dr. Daniel Peltonen | 110 W Blakely St, Monroe, WA | (360) 794-7600
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Select Topics:
Backaches & Sciatica
Headaches & Neck Pain
Wellness Topics
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Exercise & Fitness
Women's Health Issues
Children's Health Issues
Stress Management

Dr. Daniel Asks some important questions of interest to Monroe residents - Chiropractor Monroe Dr. Daniel Asks...

What's the difference between sick care and health care?
Sick care is largely about relieving or suppressing symptoms. Health care is about improving performance. While sick care is about how you feel, health care is about how you function. Sick care is what you do to treat an obvious problem, and health care is what you do to avoid the problem and advance your well-being.
How does headache medication find the headache?
It can't! Chiropractors know that when you ingest a drug and it enters your bloodstream it numbs or deadens your entire body. Chiropractic adjustments, on the other hand, are specific, targeted and delivered with precision.