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.

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

What does a chiropractic adjustment do?
Chiropractic adjustments give your spine a little "nudge" at the right place, right time and the right direction so your body can use that energy to "right" itself. With a schedule of consistent chiropractic visits, a new, healthier spinal pattern emerges.
What's the difference between chiropractic and medicine?
Medical treatment focuses on the disease or the symptom. Chiropractic focuses on the person with the disease or the symptom. Medical treatment usually involves changing blood chemistry. Chiropractic involves restoring nervous system integrity. Medical doctors prescribe medicine. Chiropractors adjust the spine—a common source of nervous system interference.