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.


Health History and Future

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


If you have any questions, please click the “Email Doctor” button at the bottom of each page or call Alive Family Chiropractic at 01768 899 036 to reach one of our staff. We look forward to assisting you with anything you may need!




Alive Family Chiropractic
8 Duke Street,, Penrith, CMA | 01768 899 036