Online Admitting Paperwork
Before You Fill Out Your Paperwork...
Welcome to the Northboro Chiropractic Center! Our first step towards helping you move towards greater health and vitality is to find out more about you. Please fill out the following information regarding your health, your life and your overall wellbeing. Chiropractic care focuses on you as a whole person, not only on your specific problems. All our life’s experiences make us who we are today, so the more information you can provide us, the better we will be able to serve you.
After the initial consultation, a chiropractic assessment will thoroughly evaluate your spine and nervous system to determine your need for care. After the doctor reviews and studies your results, your next visit will share the findings of this assessment and explain our Recommendations and Corrective Care Plan to optimize your health and to allow you to live more fully! We encourage you to bring your spouse or partner with you on this visit.
Part of our commitment to you is to provide as much information as possible about health, healing and well being. Prior to reviewing your examination findings privately with you, Dr. Karen will present a 20 minute presentation that will empower you to understand and participate in the recovery and improvement of your health.
Our mission is to serve every human being with love, honor and respect. We provide life-enhancing chiropractic care to all ages in an environment which encourages people to commit to their continued well being and empowers them to maximize their human potential.
Once again, welcome to the Northboro Chiropractic Center! We look forward to helping you and your family achieve outrageous health and vitality. We are honored to serve you!
For your comfort and convenience, we ask that you wear athletic style clothing without any zippers or metal detailing on your first visit. For Women: Be sure that your bra does not have any under wire or metal hooks.
New Patient Intake Forms
This let’s us know what’s happened, but perhaps more important, where do you want to take your health?
Download & Print Form
Pediatric Intake Form
Insurance Verification 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.


