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.


Health History and Future

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


Personal Injury

If your health issue is the effect of an injury at home or away, this information will help us help you.
 Download & Print Form


Symptom Survey

Please complete this form and bring it with you to your appointment.
 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.

Dr. Ellan  Asks some important questions of interest to Jacksonville residents - Chiropractor Jacksonville Dr. Ellan Asks...

Can someone who has had back surgery receive chiropractic care?
Yes. Rest assured that we will avoid the surgically modified areas of your spine. However, what we find is that surgical interventions will often produce spinal instability above or below the involved level. This is will be the focus of your chiropractic care.
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 Jacksonville 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.

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