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Patient Intake Forms

Click icon below to download our new patient form as a PDF Document.

Once downloaded, print, fill out, and bring with you to your next office visit.

pdfAdv Chiropractic Patient info1.pdf

pdfAdv Chiropractic Patient info2.pdf

pdfNeck Disability.pdf

pdfLow Back Pain and Disability.pdf

pdfHealth History 1.pdf

pdfHealth History 2.pdf

pdfHIPPA_Compliance_Form.pdf

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Mon   7:30 - 1:00   2:30 - 6:00  
Tue  7:30 - 1:30   
Wed  7:30 - 1:00  2:30 - 7:00 
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Testimonials

Neck Pain

 

B. P.

            I came in with neck and arm pain, with tingling when lifting. Now, progress would be described as excellent, 90%.

 

C. B.

            Neck soreness and upper back spasms, worsening, and having trouble sitting while on the job. After treatment, 70% improved energy and strength.

 

S. C.   

            Long standing neck pain, interfering with sleep and life in general. Excellent progress, can move and sleep better.

 

L. R.

            Overall general strength and mental outlook have changed, 80% better with excellent improvement.

 

T. M.

            I have been dealing with this for years. It was affecting my ability to sleep throughout the night and function for work the next day. So far, my energy has increased and nerve pain decreased. 70% improved.

 

J. P.

            Constant neck and upper back pain with ongoing headaches. My nerve pain is 70% reduced and energy is up. Excellent progress.

 

S. D.

            Have seen numerous professionals including Chiropractors Improvement now is at 60% and have gladly referred others.

 

K. C.

            100% better, able to breath better and deeper.

 

C. R.

Excellent progress…90% better.

 

D. B.

            Improved neck strength, 100%. Have several patients for care.

 

L. K.

            Energy is up, 70% improvement.

 

W. E.

            Suffering for years with neck and arm problems. Affecting my ability to work. Now, general strength is improved, neck and arm pain decreased. I am able to do a lot more work than I used to.

 

J. F.

            I’m 24 years old and having a lot of complaints. Since treatment, 80% better. Pain is about gone, energy and strength have increased. Gladly referred.

 

T. E.

            80% improved in all areas, functioning much better at my job and life in general. Have referred and will keep referring.

 

C. S.

            Had chronic neck pain, affecting most of my activities in life. Since treatment, excellent progress. 100% improved and, “My husband is happy now!”.

 

K. D.

Essentially, could not do anything, especially play with my grandkids. Now, all has changed. 80% better and still working on it.

 

L. J.

            Excellent progress, 90%. Chiropractic care has made a difference.

 

J. S.

            I was in a car accident. I went through my care plan and now I feel 100% better. Have full/normal movement in my neck and shoulders without any pain.

 

K. R.

Back spasms have decreased, sleeping is much better, more energy and a better outlook. Have gladly referred my friends and family.

 

C. M.

            Neck pain has improved, headaches have much improved and have found a drugless way to manage them.

 

G. L.

            Excellent progress, 90% improved and now just maintaining.

 

A. L.

            I could hardly lift, sleep or do school activities when I first started coming. Now, I have no pain and my neck feels great. 90% better.

 

D. M.

            Got rear ended in a car accident. After treatment I’m 80% improved and continuing.         

 

J. C.

            I have vertigo and lost the ability to turn my head either direction. My ENT sent me here. Since treatment, even though I have arthritis in my neck…full range of motion, sleeping better, and dizziness is all but gone. Excellent progress and gladly have and will refer.

 

A. C.

            90% improved since going through treatment plan. Very pleased and have referred others!

 

J. W.

            Neck pain due to auto accident. 100% recovered and feel great.

 

P. H.

            100% better, was suffering for a long time. Excellent improvement, referred family.

 

D. R.

            Was having a lot of trouble with my neck and across shoulders. Difficult to work. Since I have been under treatment I am 90% better.

 

S. D.

            Have had neck and shoulder pain for a long time. It took some time to get better, just what the Doctor said. No, 90% better. Chiropractic care has made a big difference and now my whole family gets care.

 

S. T.

            Excellent progress, 90% improved, my nerve pain, energy and ability to work without pain are great! My job is a stylist was becoming a problem, not anymore.

 

J. P.

            I could not turn my head, my neck was getting worse and I was stiffening up all over. Dr. Parson showed me the problem and how severe it was getting. Now have very little neck pain, but it does flare up. I can turn me head and my posture is much better.

 

K. C.

            I am 90 years old and when I came in I could hardly hold my head up. My posture was getting worse. It was hard to swallow and breath and had to use a collar to hold my head up. Treatment has helped me about 50% better. I can hold my head up and neck is stronger and we still have work to do.

 

A. G.

            My neck was giving me some problems and was having trouble swallowing and choking more. I didn’t really associate the two. After seeing my x-rays and was explained the problem, I wanted it fixed. At this point, I am much and do not have either of the problems. Noticed my whole energy is better.

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