Online 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.


New Patient Registration and Case History

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

 Download & Print Form


Motor Vehicle Accident Form

If you have recently been involved in a motor vehicle accident, please complete this form and bring it along with you.

 Download & Print Form


Child History Form

If the patient is under 18 years old, please use this form instead of the standard intake form.

 Download & Print Form


Patient Re-Activation Form

This form will allow us to re-activate your patient file and provide us with an update of your situation.

 Download & Print Form


Progress Exam Patient Feedback

We use this form to help us improve our care; you'll complete it after you've been under care for several weeks and your progress exam is complete.

 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. B Asks some important questions of interest to Kingston residents - Chiropractor Kingston Dr. B Asks...

Can someone who has had back surgery receive chiropractic care?
Yes. Rest assured that we will avoid the surgically modified areas of your spine. However, what we find is that surgical interventions will often produce spinal instability above or below the involved level. This is will be the focus of your chiropractic care.
Can chiropractic cure a child's ear infections?
Chiropractic isn't a cure for anything. Nor is it a treatment for ear infections. However, many children who suffer with ear infections also suffer from spinal problems in their neck, compromising nerves to the ear, depressing the immune system and preventing proper drainage. Can chiropractic help? Find out!