The Westminster Chiropractor to see - Chiropractor Westminster

Online Paperwork

We offer our paperwork online so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.

Welcome to the Puritz Chiropractic Center-Intake Form

This lets us know more about you, what’s happened, and perhaps more important, where do you want to take your health?  All new patients need to fill out this form.
 Download & Print Form

Back Index-ACN

This form gives us specific information on how your back and associated pain, is affecting your activities of daily living.  This form shall be filled out by new patients as directed by the office.
 Download & Print Form

Neck Index-ACN

This form gives us specific information on how your neck and associated pain, is affecting your activities of daily living.   This form shall be filled out by new patients as directed by the office.
 Download & Print Form

Activities of Daily Living Assessment-Report Masters

This form asks general activities related to all areas.  This form shall be filled out by new patients as directed by the office.
 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. Allan Asks some important questions of interest to Westminster residents - Chiropractor Westminster Dr. Allan Asks...

How do most people deal with subluxations?
First, they try to ignore them. When they don't, they go to the medicine cabinet to stop their brain from feeling the symptom. Later, back surgery may be threatened. Sadly, it's not until this later stage that they consult our Westminster chiropractic office. Yet, even with the delay, most are delighted by the results produced by today's chiropractic care. Contact us and let's get started.
What controls your pulse, blood pressure and cholesterol?
Conventional health care focuses on the various aspects of your blood. But these are merely effects. Chiropractic focuses on the integrity of your nervous system that controls, regulates and monitors every aspect of your circulatory system, every aspect of your body and every person in Westminster.