Your Health History

We offer our paperwork online 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 Form (required)

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


Automobile Accident (optional)

If your health issue is the result of a car accident, we need some additional information.
 Download & Print Form


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.Bob Asks some important questions of interest to Danville residents - Chiropractor Danville Dr.Bob Asks...

How do chiropractors help ADHD?
There is agreement that ADHD is a nervous system disorder. And while chiropractic isn't a treatment for ADHD, if your child has vertebral subluxations, resolving them will often produce profound results. Click here to learn why more and more Danville parents are choosing natural chiropractic care rather than dangerous psychotropic drugs.
Why do so many drugs require a prescription?
Because they can be dangerous? I chose a chiropractic career specifically because it avoids artificial means of pain relief. Our Danville chiropractic practice attracts health-conscious families that prefer a safe and natural solution. Ready to get started? Call our office today.