The Clark Chiropractor to see - Chiropractor Clark

Admitting Paperwork

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

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

Automobile Accident Intake Form

If your health issue is the result of a car accident, we need some additional information.
 Download & Print Form

Worker’s Compensation Intake Form

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.

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Dr. Jay Asks some important questions of interest to Clark residents - Chiropractor Clark Dr. Jay Asks...

Are chiropractors just concerned with the spine?
Our interest in the spine is because it covers the major communications conduit between your brain and your body. As a Clark chiropractor my job is to locate areas (usually along the spine) that interfere with proper nerve communications to and from your brain. Chiropractic adjustments help restore nervous system integrity. In this way, chiropractic care can affect the function of your entire body.
Are aches and pains good or bad?
While aches or pains may be unpleasant, they're merely warning signs. As a Clark 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.