The Clearwater Chiropractor to see - Chiropractor Clearwater

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 Information Form

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

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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. Jere Asks some important questions of interest to Clearwater residents - Chiropractor Clearwater Dr. Jere Asks...

What controls every cell, tissue and organ of your body?
DNA? Wrong. Immune system? Wrong? Hormones? Wrong. It's your nervous system, consisting of your brain, spinal cord and all the nerves of your body. When a chiropractor sees a Clearwater patient with say, stomach problems, we want to know why the brain is unable to properly control and regulate the stomach. Which prompts us to examine the nervous system—the focus of chiropractic care.
What's the difference between maintenance, prevention and wellness?
Maintenance chiropractic care is an attempt to keep a dynamic, ever-changing and adapting organism (you) in a static relationship with your environment. Preventive chiropractic care is mostly about early detection. Wellness chiropractic care is an attempt to optimize our health and be all that you were designed to be.