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 Form

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HIPPA Consent Form

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Terms of Acceptance

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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.

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Dr. Dan Asks some important questions of interest to Grand Rapids residents - Chiropractor Grand Rapids Dr. Dan Asks...

What's the purpose of a surgeon's mask?
When I ask most people in Grand Rapids this, most think it protects the patient from the doctor's germs. But it's so porous it does little to prevent the passage of germs. We chiropractors don't bother with masks.
Which organs are extra?
You don't have any spare parts. Sure, we can survive without our tonsils, appendix, gall bladder and several other tissues, but each serves a purpose. We chiropractors recognize this. So the chiropractic approach I use in Grand Rapids is to reduce nerve interferences to the control and regulation of every tissue, organ and system of your body.