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.


Health History and Future

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


What Brought You In?

This additional information helps us determine the best course of care for you.
  Download & Print Form


Personal Injury

If your health issue is the result of a personal injury, 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. Chris  Asks some important questions of interest to Hattiesburg residents - Chiropractor Hattiesburg Dr. Chris Asks...

How could chiropractic help a stomach problem?
Chiropractic works by locating and reducing areas of the spine compromising nerve communications between your brain and your body. If nerves to or from your stomach are irritated, your stomach won't work right. Chiropractors find the source of the interference, reduce it and allow your body to work as designed.
Do nerves actually get pinched?
Chiropractors recognize two types of nerve disorders involved in vertebral subluxation complex. The least common is a pinched nerve that diminishes nerve supply to an affected organ or tissue. More common is the irritated nerve (facilitative lesion) which overexcites nerve communications to an affected organ or tissue. Chiropractic care has been shown to help with both types.