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 babies with colic be helped with chiropractic?
It's probably one of the times a parent feels the most helpless. But based on the research, chiropractic and colic relief appear to go hand in glove. With success rates in the mid-90% range, more and more Omro parents are seeing a chiropractor. If you have a baby with colic learn how chiropractic may help.
How could chiropractic help a stomach problem?
Chiropractic works by locating and reducing areas of the spine compromising nerve communications between your brain and your body. If nerves to or from your stomach are irritated, your stomach won't work right. Chiropractors find the source of the interference, reduce it and allow your body to work as designed.