New Patient Intake 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.


Intake Forms

This initial very important form lets us know your history, complaints, lifestyle factors, and your health goals.
 Download & Print Form

If you are completing these forms for a minor child, please include this consent form.
 Download & Print Form


Privacy Policy

We provide our Office Policy and Privacy Policy for your review.
 Download & Print Office Policy

 Download & Print Privacy Policy


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.

Dr. Michael  Asks some important questions of interest to Toledo residents - Chiropractor Toledo Dr. Michael Asks...

How does headache medication find the headache?
It can't! Chiropractors know that when you ingest a drug and it enters your bloodstream it numbs or deadens your entire body. Chiropractic adjustments, on the other hand, are specific, targeted and delivered with precision.
Are aches and pains good or bad?
While aches or pains may be unpleasant, they're merely warning signs. As a Toledo chiropractor, I see this all the time. The pain is not the problem! It just means a limitation has been reached and something needs to change. That's when we get to work correcting the underlying cause.

FREE e-newsletter

click here to subscribe