The Shoreview Chiropractor to see - Chiropractor Shoreview

Patient Downloads

Patient Forms FILL THESE OUT AND BRING WITH YOU TO YOUR FIRST VISIT

New Patient Forms

To be completed by all new patients - unless you are being seen for injuries resulting from an auto accident or that are work related. (See below for auto/work injury forms.)

Adult

  Download & Print Form

Birth - 4 yrs old

  Download & Print Form

Pediatrics

  Download & Print Form


Body Map

For noting symptoms & severity - ALL new patients must complete this form.

  Download & Print Form


Auto Accident

Personal Injury due to auto accident.

  Download & Print Form


Personal Injury

Personal Injury (except auto accident related)

  Download & Print Form


Work Injury

Personal Injury while at work.

  Download & Print Form


Worker's Compensation Authorization

Approval of supervisor or Human Resources representative required for all work related injuries. Expediency and accuracy in the completion of this form will allow us to treat you in a more timely manner.

  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.

To schedule an appointment, call our Shoreview clinic today.



Health and Wellness Center - Dr Robert Thatcher
1050 County Road E, West, Shoreview, MN
651-484-8448
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Dr. Robert Asks some important questions of interest to Shoreview residents - Chiropractor Shoreview Dr. Robert Asks...

How come medical doctors don't recommend chiropractic?
That's changing. Years of prejudice and bias are giving way to research showing the benefits of chiropractic care. As more and more Shoreview folks seek alternatives to drugs and surgery, more and more medical practitioners are referring their patients to chiropractors.
Why does chiropractic work?
Chiropractic works because your nervous system, consisting of your brain, spinal cord and all the nerves of your body, controls and regulates every cell, tissue, organ and system of your body. A chiropractor locates and reduces areas of nervous system compromise (usually along the spine) so your capacity to heal is restored. Chiropractic works by helping your body work as it was designed.