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.


Pediatric Intake Form

If you'll be bringing a child with you, please take the time to complete this form before you arrive. Having this form done before you arrive will make the visit more enjoyable for your child!
 Download & Print Form


Health History and Future

This lets us know what’s happened, but perhaps more important, where do you want to take your health?
 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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Dr. Tammy  Asks some important questions of interest to Eau Claire residents - Chiropractor Eau Claire Dr. Tammy 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 Eau Claire parents are seeing a chiropractor. If you have a baby with colic learn how chiropractic may help.
Would you rather feel good or be healthy?
Ask most people in Eau Claire and they want to feel good. Careful! Would you take medicine that makes you feel good, rather than vomit to expel improperly prepared food? Every chiropractic practice member knows that you can't measure your health by how you feel. True health is when your body works as it should.