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.




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.




Contact our Eau Claire office to make an appointment today.



Dr. Tammy Amoth, 534 Water Street, Eau Claire, WI | (715) 838-9432

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Dr. Tammy  Asks some important questions of interest to Eau Claire residents - Chiropractor Eau Claire Dr. Tammy Asks...

What's the difference between sick care and health care?
Sick care is largely about relieving or suppressing symptoms. Health care is about improving performance. While sick care is about how you feel, health care is about how you function. Sick care is what you do to treat an obvious problem, and health care is what you do to avoid the problem and advance your well-being.
Where do most Eau Claire 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 Eau Claire newborn.