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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?

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Children’s Patient History

Same as above, but for kids 10 and under.

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Work Injury

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

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Auto Accident

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

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Have you subscribed to our newsletter? It’s a great way to learn more about what our Brookfield chiropractic team can offer you!

Nutrition or Weightloss Consultation Form

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Notice of Privacy Practices

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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.

Our knowledgeable staff can field most questions over the telephone. Contact Brookfield Chiropractic today.

Educating the residents of Brookfield, New Berlin, Wauwatosa on how to be healthy.