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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.

PDF IconPatient Intake Form

PDF Icon Automobile Accident Form

PDF Icon Workers’ Compensation History Form


Free AdobeReader®

Get adobe readerEach 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.


Dr. James Kolwaite | New York Mills Chiropractor | (315) 768-7578
Chiropractic Websites by Perfect Patients. Choose Natural: your source for natural health information.