New Patient forms:

Please find our Confidential New Patient Forms that all new patients may fill out prior to being seen in our office. These forms can be filled out, signed and dated before your visit to our office. You may bring them with your or fax them to our office @ 419-994-5552.

This will save you time on your initial visit and allow us to get the information set up and ready for your initial visit. If you have any questions, please feel free to call our office @ 419-994-5551.

Download Forms Here (these forms are in pdf format. Adobe Reader will be needed to read or print these forms. Adobe Reader is available for free from:

  • It is a good idea to wear comfortable clothes and shoes for your visit to the chiropractor.

  • Bring copies of any recent spinal x-rays, spine x-ray reports, spine MRI reports or Spine CT scan reports with you.

  • Set aside at least 1 hour for your first visit to the office. Future visits will typically be 15 - 20 minutes depending on the treatments you are receiving.


American Chiropractic Association

Ohio State Chiropractic Association

We offer Decompression Therapy:

This FDA Approved, Safe, Non-Surgical treatment has been effectively used to treat the following:

° herniated, protruded, degenerated discs
° facet syndrome
Call our office today for more information