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Online Forms

We offer our paperwork on line so you can complete it in the convenience of your own home. Call us or Click here to email us your questions!

Health History

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

Download & Print Form

Personal Injury

If your health issue is the result of an injury at home, we need some additional information.

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Worker’s Compensation

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

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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.

Mandeville chiropractic care

Care Chiropractic Clinic | (985) 626-4422

Northshore Chiropractor proudly serving the
Mandeville, Covington and Madisonville communities.