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...

How come medical doctors don't recommend chiropractic?
That's changing. Years of prejudice and bias are giving way to research showing the benefits of chiropractic care. As more and more Omro folks seek alternatives to drugs and surgery, more and more medical practitioners are referring their patients to chiropractors.
Where do most Omro residents get their first subluxation?
Being born in a hospital is a common source of subluxation. Trauma from forceps delivery has been replaced with drugs, vacuum extraction, Cesarean section and births that are "scheduled" to fit the workweek routines of Ob-Gyns. That's why we recommend a chiropractic checkup for every Omro newborn.