Online paperwork

Online Paperwork

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 in our office.

  • If you have not been in an auto accident or are coming in from an injury form work you will just need to download the Patient Intake Form. 
  • If you your insurance carrier is Cigna or United Healthcare, you will need to download the appropriate form along with your Patient Intake Form.
  • If you have been in an auto accident or hurt on the job download the appropriate form along with the Patient Intake Form.


Patient Intake Form

 Download & Print Form


Automobile Accident

 Download & Print Form


Worker’s Compensation

 Download & Print Form


Cigna Insurance Intake Form

 Download & Print Form


United Healthcare Intake Form

 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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Drs. Jamie & Lori Asks some important questions of interest to Columbia City residents - Chiropractor Columbia City Drs. Jamie & Lori 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.
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.