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Your Health History

We offer our health records on line so you can complete it in the convenience of your own home. Here are the essential records we use and why we need them.

New Patient Health Records

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

pdf iconFunk Chiropractic Online Health Records

Personal Injury

If your health issue is the result of a non-work related accident, we need some additional information.

pdf iconDownload & Print Form

Worker’s Compensation

If your health issue is the effect of an injury at work, this information will help us help you.

pdf iconDownload & Print Form

Free AdobeReader®

Get adobe readerEach 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.

Funk Chiropractic | (530) 300-1000