Admitting 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.


Intake Forms

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


Automobile Accident

If your health issue is the result of a car 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. Michael  Asks some important questions of interest to Nixa residents - Chiropractor Nixa Dr. Michael Asks...

How could a child benefit from chiropractic?
Regardless of our age, each of us in Nixa encounters physical, chemical and emotional stresses that exceed our ability to handle. For newborns, it could be the trauma encountered at birth. For toddlers it could be from learning to walk or ride a bike. Many of the problems we chiropractors see in adults are the result of neglected traumas from childhood.
What's the difference between a "good" drug and a "bad" drug?
As a chiropractor, I see the use of drugs (legal or illegal) as merely symptom treating. Worse, virtually every drug produces unwanted effects. The only effects of chiropractic are positive effects. If you're a Nixa parent, consider carefully before giving your child a cough medication, cold remedy or pain reliever so this sort of question doesn't arise in the first place.