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.


New Patient Registration Forms

These forms let us know what’s happened, but perhaps more important, where do you want to take your health?

 Download the Informed Consent Form

 Download Patient Welcome Letter and Registration Form

 Download Patient History Form

 Download Pediatric Case History Form


Region Specific Questionnaires

 Download the Back Pain Index

 Download the Neck Pain Index


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. Mike Asks some important questions of interest to Omro residents - Chiropractor Omro Dr. Mike Asks...

Can those with osteoporosis get chiropractic care?
Of course. When developing a care plan, we consider the unique circumstances of each patient. There are many ways we can adjust the spine. The chiropractic method we select will be best suited to your age, size and unique situation.
What's the difference between a "good" drug and a "bad" drug?
As a chiropractor, I see the use of many drugs (legal or illegal) as merely symptom treating. Worse, virtually every drug produces unwanted effects. The effects of chiropractic are largely positive effects. If you're a Omro parent, consider carefully before giving your child a cough medication, cold remedy or pain reliever so this sort of question doesn't arise in the first place.