The Belmont Chiropractor to see - Chiropractor Belmont

Online Forms

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.

Health History

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

 Download & Print Form (page 1)

 Download & Print Form (page 2)

Initial Health Status

If you have HMO insurance, please fill out this form in addition to the 2 pages above for us to process your care.


 Download & Print Form

HIPPA

If you have received chiropractic care elsewhere, or have medical records we will need from another practitioner, please sign this release.

 Download & Print Form

Office Policy

We have made our standard office policy available for you to read.


 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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Dr. Nicole Asks some important questions of interest to Belmont residents - Chiropractor Belmont Dr. Nicole Asks...

Do nerves actually get pinched?
Chiropractors recognize 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.
Can a chiropractor heal?
There's never been a case in which a doctor (chiropractor or otherwise) has formed scar tissue, mended a broken bone or cured a headache. Only you can do that. Turns out you're the doctor! All I do is help remove interferences to your body's healing ability. Ready to get started? Call our office today.