Online Paperwork (Your 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.


New Patient Questionnaire

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?
 Click to Download & Print Form


New Patient Case History

Let us know about your health background.
 Click to 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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Mike Black Asks some important questions of interest to Clovelly residents - Chiropractor Clovelly Mike Black Asks...

Do nerves actually get pinched?
Chiropractors recognise two types of nerve disorders involved in subluxation. The least common is a pinched nerve that diminishes nerve supply to an affected organ or tissue. More common is the irritated nerve (facilitative lesion) which overexcites nerve communications to an affected organ or tissue. Chiropractic care has been shown to help with both types.
If you have a fever, are you sick or healthy?
Chiropractors love asking this question because it gets to the root of the chiropractic difference. Turns out fevers, vomiting, coughing and even sneezing are all healthy responses. It means your body is working correctly. Taking medications to suppress these natural processes can actually prolong your recovery.