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 Case History form

The New Patient Case History form will give the you an opportunity to provide the doctor with the information necessary to fully assess your health concern.
 Download & Print Form


Pain Intensity Questionnaire

The Pain Intensity Questionnaire gives the doctor a better understanding of your level of pain and discomfort.
 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. Rick Asks some important questions of interest to Vincennes residents - Chiropractor Vincennes Dr. Rick Asks...

How could chiropractic help a stomach problem?
Chiropractic works by locating and reducing areas of the spine compromising nerve communications between your brain and your body. If nerves to or from your stomach are irritated, your stomach won't work right. Chiropractors find the source of the interference, reduce it and allow your body to work as designed.
How do you "catch" a cold?
Simply lower your resistance by avoiding the proper rest and exercise, eating lots of sugar and junk food, putting up with emotional stress and neglecting your nervous system by avoiding your chiropractor. You won't have to catch a cold because it will catch you!