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.
 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 chiropractic cure a child's ear infections?
Chiropractic isn't a cure for anything. Nor is it a treatment for ear infections. However, many children who suffer with ear infections also suffer from spinal problems in their neck, compromising nerves to the ear, depressing the immune system and preventing proper drainage. Can chiropractic help? Find out!
Why does chiropractic work?
Chiropractic works because your nervous system, consisting of your brain, spinal cord and all the nerves of your body, controls and regulates every cell, tissue, organ and system of your body. A chiropractor locates and reduces areas of nervous system compromise (usually along the spine) so your capacity to heal is restored. Chiropractic works by helping your body work as it was designed.

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