- We strive to provide complete care for our patients. Learn more about all the services we provide.
Chiropractic Care Center offers our patient form(s) online so they can be completed it in the convenience of your own home or office.
- If you do not already have AdobeReader® installed on your computer, Click Here to download.
- Download the necessary form(s), print it out and fill in the required information.
- Fax us your printed and completed form(s) or bring it with you to your appointment.
Fax Number: (262) 785-9887 Chiropractic Care Center of New Berlin
Dr Michelle Draggoo/Stamm
- Patient Health Information Consent Form
- Consent for Minor Forms
- Informed Consent to Chiropractic Treatment
- Patient Intake Form
- New Patient Case History
- Oswetry Disability Index
- - Back Index
- - Neck Index
- Bournemouth Questionaire
- - Back
- - Neck
- Pain Drawing
- Activities of Daily Living