The Marysville Chiropractor to see - Chiropractor Marysville

New Patient 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.

New Patient Intake Form
Patient Health Information Consent
Pediatric New Patient Forms:
      Pediatric New Patient Information
      Infant History Form
      Preschool New Patient Information
      School Age Child History Form
Consent to Treat a Minor Form
Insurance Questionnaire

If you have been in a car accident recently, please fill out these forms as well:

Accident Injury Form

If you have United Healthcare, Great West, Nationwide or Golden Rule, your insurance company requires you to fill out additional paperwork. Please print and complete these forms.

Patient Health Questionnaire - PHQ
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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Drs. Cooper Asks some important questions of interest to Marysville residents - Chiropractor Marysville Drs. Cooper Asks...

What is the significance of "growing pains?"
Chiropractors know that aches or pains at any age mean something's not right. In fact, many children go through stages of growth without aches or pains. So while "growing pains" may be common, they're not normal. That's why our Marysville chiropractic practice sees lots of children. A chiropractic checkup for your child can often help detect and correct problems that are more difficult to correct in Marysville adults.
What's your plan to deal with drug-resistant 'super germs'?
Chiropractors have always been concerned with the indiscriminate use of antibiotics, accelerating the mutation of microbes that make "wonder" drugs increasingly ineffective. My strategy? Do everything possible to bolster my immune system through proper diet, rest, exercise, clean air, pure water and an optimally functioning nervous system with regular chiropractic care.