The Moline Chiropractor to see - Chiropractor Moline

Your 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.

New Patient Form

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

Personal Injury

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

Worker’s Compensation

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 Vana Asks some important questions of interest to Moline residents - Chiropractor Moline Dr Vana Asks...

What's the difference between maintenance, prevention and wellness?
Maintenance chiropractic care is an attempt to keep a dynamic, ever-changing and adapting organism (you) in a static relationship with your environment. Preventive chiropractic care is mostly about early detection. Wellness chiropractic care is an attempt to optimize our health and be all that you were designed to be.
How does headache medication find the headache?
It can't! Chiropractors know that when you ingest a drug and it enters your bloodstream it numbs or deadens your entire body. Chiropractic adjustments, on the other hand, are specific, targeted and delivered with precision.