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 Health Questionaire

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




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...

What's the difference between sick care and health care?
Sick care is largely about relieving or suppressing symptoms. Health care is about improving performance. While sick care is about how you feel, health care is about how you function. Sick care is what you do to treat an obvious problem, and health care is what you do to avoid the problem and advance your well-being.
What's a side effect?
It may sound like a bonus; something extra, but chiropractors know it should more accurately called an "unintended effect," and "unwanted effect" or in some cases an "adverse effect." A pill can't come close to matching your body's ability to create and deliver the essential compounds it needs. That's when it's important to make sure your nervous system is working correctly—the purpose of chiropractic care!