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.


Pediatric Intake Form

If you are bringing a child to our office, please use this form to share with us some important information about his or her life so far

      Download & Print Form


Health History and Future

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

      Download & Print Form


Re-Exam Paperwork

If it has been a while since you were last in our office, please use this form to get us updated on how you have been doing recently.

      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. T.J. Asks some important questions of interest to San Jose residents - Chiropractor San Jose Dr. T.J. Asks...

Can babies with colic be helped with chiropractic?
It's probably one of the times a parent feels the most helpless. But based on the research, chiropractic and colic relief appear to go hand in glove. With success rates in the mid-90% range, more and more San Jose parents are seeing a chiropractor. If you have a baby with colic learn how chiropractic may help.
How long will you need chiropractic care?
You'll need chiropractic care as long as you live in San Jose and encounter physical, chemical or emotional stress that you cannot adapt to or accommodate. Ready to get started? Call our office today.