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 and why we need them.


New Patient Registration and Case History

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

 Download & Print Form - This version can be printed and completed by hand.
 Download & Print Form - This version can be completed on the computer before printing.


Infant Case History

If you are bringing in a child who is under two years of age, please complete this form.

 Download & Print Form


Child Case History

If your child is over two years of age, please complete this 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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Dr. David Asks some important questions of interest to Cullman residents - Chiropractor Cullman Dr. David Asks...

Will chiropractic adjustments make my spine too loose?
No. Only the spinal joints that are fixated and "locked up" receive attention. The occasional spinal joint that moves too much is passed over so weakened muscles and ligaments can strengthen and heal.
What's a side effect?
It may sound like a bonus; something extra, but chiropractors know it should more accurately called an "unintended effect," and "unwanted effect" or in some cases an "adverse effect." A pill can't come close to matching your body's ability to create and deliver the essential compounds it needs. That's when it's important to make sure your nervous system is working correctly—the purpose of chiropractic care!