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...

How could chiropractic help a stomach problem?
Chiropractic works by locating and reducing areas of the spine compromising nerve communications between your brain and your body. If nerves to or from your stomach are irritated, your stomach won't work right. Chiropractors find the source of the interference, reduce it and allow your body to work as designed.
What causes vertebral subluxations?
Chiropractors acknowledge three types of stress: physical, chemical and emotional. When the adaptive capacity of your body is compromised, weakened areas along the spine can become involved. Muscles tighten, spinal joints lock up and nearby nerves are affected. The purpose of chiropractic care is to find these areas and restore balance, alignment and motion.

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