Online Patient Forms

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 


Automobile PI Accident

If your health issue is the result of a car 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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Stress Management

Dr W. R. Asks some important questions of interest to McComb residents - Chiropractor McComb Dr W. R. Asks...

How do you know when you're healthy?
Ask most McComb residents this simple question and you're likely to hear, "When you feel good" or "When you're at your proper weight for your height" or "When you have lots of energy and vitality." Great answers. But our chiropractic patients know that true health is when your body is working as it was designed. True health is how you function, not how you feel.
Why are some people allergic to pollen and others aren't?
It's not the pollen. Chiropractors know that if it were, everyone would be allergic to pollen, nuts and pet dander. But that's not the case. It's the person, not the pollen! If you live in McComb and your stress levels are high, then each year the grass, the trees or the weeds put your nervous system over the top. Many report that chiropractic care helps reduce the frequency and severity of their allergic response.