The Attica Chiropractor to see - Chiropractor Attica

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.

Health History Adult

Ages 13 and over. This let’s us know what’s happened, but perhaps more important, where do you want to take your health?
 Download & Print Form

Health History Child

Infants up to ages 12. This let’s us know what’s happened, but perhaps more important, where do you want to take your health?
 Download & Print Form

Patient Request for Records

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

Automobile Accident

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

Privacy Policy

How we protect your privacy.
 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. Gary Asks some important questions of interest to Attica residents - Chiropractor Attica Dr. Gary Asks...

Can chiropractic cure a child's ear infections?
Chiropractic isn't a cure for anything. Nor is it a treatment for ear infections. However, many children who suffer with ear infections also suffer from spinal problems in their neck, compromising nerves to the ear, depressing the immune system and preventing proper drainage. Can chiropractic help? Find out!
What's the difference between a "good" drug and a "bad" drug?
As a chiropractor, I see the use of many drugs (legal or illegal) as merely symptom treating. Worse, virtually every drug produces unwanted effects. The effects of chiropractic are largely positive effects. If you're a Attica 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.