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.


Health History and Future

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


Worker’s Compensation

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


Auto Accident

If your health issue is the effect of an injury suffered in an auto accident, this information will help us help you.
 Download & Print Form


Neck Disability Index / Revised Oswestry Low Back Pain Questionnaire

If you have received chiropractic care elsewhere, or have medical records we will need from another practitioner, please sign this release.
 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.

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Dr. Evans Asks some important questions of interest to Christiana residents - Chiropractor Christiana Dr. Evans Asks...

Would you rather feel good or be healthy?
Ask most people in Christiana and they want to feel good. Careful! Would you take medicine that makes you feel good, rather than vomit to expel improperly prepared food? Every chiropractic patient knows that you can't measure your health by how you feel. True health is when your body works as it should.
Are aches and pains good or bad?
While aches or pains may be unpleasant, they're merely warning signs. As a Christiana chiropractor, I see this all the time. The pain is not the problem! It just means a limitation has been reached and something needs to change. That's when we get to work correcting the underlying cause.