Online Paperwork

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.


Chiropractic Patient History Form

This lets us know what’s happened in your past, but more importantly, where do you want to be with your health into the future?
 Download & Print Form


Children's Patient History

Same as above, but for kids 10 and under.
 Download & Print Form


Work Injury

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


Auto Accident

If your health issue is the effect of an auto accident injury, we need some additional information.
 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.

Brookfield Chiropractic Asks some important questions of interest to Brookfield residents - Chiropractor Brookfield Brookfield Chiropractic Asks...

Can someone who has had back surgery receive chiropractic care?
Yes. Rest assured that we will avoid the surgically modified areas of your spine. However, what we find is that surgical interventions will often produce spinal instability above or below the involved level. This is will be the focus of your chiropractic care.
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.

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