Skip to content

Health History

Yes, we know it’s a hassle filling out the dreaded doctor’s office paperwork. This is why we offer our paperwork online. This allows you to complete the necessary in the convenience of your own home and it really cuts down on the amount of time needed for your first visit.

Here are the essential forms we use and why we need them.


Health History – CPI

Name, rank, and serial number… Just the standard doctor’s office form.

PDF IconDownload & Print Form


Automobile Accident

If your health issue is the result of a car accident, we need some additional information.

PDF IconDownload & Print Form


Release of Records

If you have received chiropractic care elsewhere, or have medical records we will need from another practitioner, please sign this release.

PDF IconDownload & 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.


Delivering state-of-the-art chiropractic and natural remedies
to the Lynn communities.
Chiropractic Web Design by Perfect Patients.