The Toledo Chiropractor to see - Chiropractor Toledo

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

Please read and sign this form if you are a Medicare patient.
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Privacy Policy

We provide our Office Policy and Privacy Policy for your review.
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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.

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Dr. Mike Asks...

What's the difference between sick care and health care?

Sick care is largely about relieving or suppressing symptoms. Health care is about improving performance. While sick care is about how you feel, health care is about how you function. Sick care is what you do to treat an obvious problem, and health care is what you do to avoid the problem and advance your well-being.

Where do most Toledo residents get their first subluxation?

Being born in a hospital is a common source of subluxation. Trauma from forceps delivery has been replaced with drugs, vacuum extraction, Cesarean section and births that are "scheduled" to fit the workweek routines of Ob-Gyns. That's why we recommend a chiropractic checkup for every Toledo newborn.