Skip to content

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!

pdf iconDownload & 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?

pdf iconDownload & 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.


Radiant Health Chiropractic | (715) 838-9432
Perfect Patients Chiropractic Website Design.