The Omro Chiropractor to see - Chiropractor Omro

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 along with an explanation as to 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

These forms help us determine how much your condition is affecting your ability to perform activities of daily living. 

 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 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!
Are chiropractors just concerned with the spine?
Our interest in the spine is because it covers the major communications conduit between your brain and your body. As a Omro chiropractor my job is to locate areas (usually along the spine) that interfere with proper nerve communications to and from your brain. Chiropractic adjustments help restore nervous system integrity. In this way, chiropractic care can affect the function of your entire body.