Health History

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.


New Patient Form

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?

 Download & Print Form


Personal Injury

If your health issue is the result of a non-work related accident, we need some additional information.

 Download & Print Form


Worker’s Compensation

If your health issue is the effect of an injury at work, this information will help us help you.

 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. Chip Asks some important questions of interest to Kaneohe residents - Chiropractor Kaneohe Dr. Chip Asks...

Do chiropractors prescribe medications for the pain?
No. Chiropractic is a drug-free approach to better health. Instead, we rely on natural methods. We can show you how to use ice to control pain. When properly applied, ice can have an analgesic effect without the unwanted and sometimes dangerous effects of pain medications.
Can chiropractic relieve PMS?
If you have subluxations, especially in the lower spine that impair nerves that direct and monitor the reproductive and hormonal systems, chiropractic could be helpful. Undetected subluxations may also be responsible for pelvic pain, incontinence, sexual dysfunction and even infertility. Maybe chiropractic can help. Find out!