An adult human spine typically consists of 26 moveable segments: seven cervical vertebras, twelve thoracic vertebras, five lumbar vertebras, one sacrum, and one coccyx (tailbone). Intervertebral d ...View Article
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Health and Wellness Center of Mid America offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.
To be completed by all new patients – unless you are being seen for injuries resulting from an auto accident or that are work related. (See below for auto/work injury forms.)
Returning Patient forms
Approval of supervisor or Human Resources representative required for all work related injuries. Expediency and accuracy in the completion of this form will allow us to treat you in a more timely manner.