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.


Adult Patient Intake Form

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


Child / Infant Intake Form

Same as above, just for kids!
 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


What Brought You In?

This gives us a clear understanding of what has brought you to our office.
 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. Wayne Asks some important questions of interest to Highland Park residents - Chiropractor Highland Park Dr. Wayne Asks...

Is chiropractic safe?
What do you consider safe? Chiropractic care is safer than driving your car on the streets of Highland Park, getting back surgery, taking aspirin and even safer than taking a shower in your own home! Compared with things we accept as safe, chiropractic care is even safer. Ready to get started? Call our office today.
How do most people deal with subluxations?
First, they try to ignore them. When they don't, they go to the medicine cabinet to stop their brain from feeling the symptom. Later, back surgery may be threatened. Sadly, it's not until this later stage that they consult our Highland Park chiropractic office. Yet, even with the delay, most are delighted by the results produced by today's chiropractic care. Contact us and let's get started.