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...

Can subluxations clear up on their own?
Sometimes. Today's hectic lifestyles can be a constant source of subluxations. Fortunately, our bodies have the ability to self-correct many of these minor problems as we bend and stretch, or when we sleep at night. When subluxations don't resolve, you need to see our Columbia City office for chiropractic care!
Are aches and pains good or bad?
While aches or pains may be unpleasant, they're merely warning signs. As a Columbia City 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.