Online Paperwork

We offer our paperwork on line so you can complete it in the convenience of your own home.


New Patient Form

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?
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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. John Asks some important questions of interest to Racine residents - Chiropractor Racine Dr. John Asks...

Is chiropractic safe?
What do you consider safe? Chiropractic care is safer than driving your car on the streets of Racine, getting back surgery, taking aspirin and even safer than taking a shower in your own home! Compared with things we accept as safe, chiropractic care is even safer. Ready to get started? Call our office today.
How does headache medication find the headache?
It can't! Chiropractors know that when you ingest a drug and it enters your bloodstream it numbs or deadens your entire body. Chiropractic adjustments, on the other hand, are specific, targeted and delivered with precision.