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...

What's the difference between maintenance, prevention and wellness?
Maintenance chiropractic care is an attempt to keep a dynamic, ever-changing and adapting organism (you) in a static relationship with your environment. Preventive chiropractic care is mostly about early detection. Wellness chiropractic care is an attempt to optimize our health and be all that you were designed to be.
Why do so many drugs require a prescription?
Because they can be dangerous? I chose a chiropractic career specifically because it avoids artificial means of pain relief. Our Appleton chiropractic practice attracts health-conscious families that prefer a safe and natural solution. Ready to get started? Call our office today.