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...

What's the difference between chiropractic and medicine?
Medical treatment focuses on the disease or the symptom. Chiropractic focuses on the person with the disease or the symptom. Medical treatment usually involves changing blood chemistry. Chiropractic involves restoring nervous system integrity. Medical doctors prescribe medicine. Chiropractors adjust the spine—a common source of nervous system interference.
What's a side effect?
It may sound like a bonus; something extra, but chiropractors know it should more accurately called an "unintended effect," and "unwanted effect" or in some cases an "adverse effect." A pill can't come close to matching your body's ability to create and deliver the essential compounds it needs. That's when it's important to make sure your nervous system is working correctly—the purpose of chiropractic care!