Health History

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.


Patient Intake Forms

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

  New Patient - Female

  New Patient - Male


Personal Injury Intake Forms

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


Worker’s Compensation Intake Forms

If your health issue is the effect of an injury at work, this information will help us help you.
 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. Brenden Kiger - Dr. Heather Steffes - Dr. Sarah Kiger
W6177 Neubert Road, Appleton, Wisconsin
(920) 757-1600

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The Doctor Asks some important questions of interest to Appleton residents - Chiropractor Appleton The Doctor 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.
How long does it take to form a bone spur?
Many who begin chiropractic care think their problem happened "last week when you bent over funny." But pictures of the spine tell a different story. Chiropractors know it can take your body years to deposit the calcium necessary to form a bone spur. It's your body's response to stress due to gravity or joint malfunction. And chiropractic care can help.