Health History

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.


Introduction to our Office

This form covers some basic information about our office including our fee structure, please read and sign.

 Download & Print Form


Health History and Future

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

Adult Consultation History

 Download & Print Form

Family Health History

 Download & Print Form


Initial Child & Adolescent Questionnaire

Please complete this questionnaire if this is your child or adolescents first visit to our office.

 Download & Print Form

Patient Birth Records Release

 Download & Print Form


Terms of Acceptance

Please complete our Terms of Acceptance form or bring it into your first visit to discuss any queries.

 Download & Print Form


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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Stress Management

 Dr. Scott Asks some important questions of interest to Alcoa residents - Chiropractor Alcoa Dr. Scott Asks...

What causes subluxations?
Chiropractors acknowledge three types of stress: physical, chemical and emotional. When the adaptive capacity of your body is compromised, weakened areas along the spine can become involved. Muscles tighten, spinal joints lock up and nearby nerves are affected. The purpose of chiropractic care is to find these areas and restore balance, alignment and motion.
What happens if you stop chiropractic care when you feel better?
Many Alcoa folks recognize that this predisposes you to a relapse. Chiropractors know that muscles and ligaments supporting the spine don't fully heal until after symptoms subside.