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 and why we need them.


Patient History

 Download & Print Form


Informed Consent to Chiropractic Treatment
 Download & Print Form


Pain Location

 Download & Print Form


Office Fee Schedule and Financial Policy
 Download & Print Form


Terms of Acceptance

 Download & Print Form


Privacy Waiver

 Download & Print Form


 

Getting Well Staying Well Form

  Download & Print Form 


 

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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.


If you have any questions or concerns, please feel free to call us. Our knowledgeable staff can field most questions over the telephone. (931) 490-0606.




Dr. Stephen C. Thiesing, 506 N. Garden St., Columbia, TN | (931) 490-0606

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Dr. Stephen Asks some important questions of interest to Columbia residents - Chiropractor Columbia Dr. Stephen Asks...

Will chiropractic adjustments make my spine too loose?
No. Only the spinal joints that are fixated and "locked up" receive attention. The occasional spinal joint that moves too much is passed over so weakened muscles and ligaments can strengthen and heal.
Can chiropractic cure a child's ear infections?
Chiropractic isn't a cure for anything. Nor is it a treatment for ear infections. However, many children who suffer with ear infections also suffer from spinal problems in their neck, compromising nerves to the ear, depressing the immune system and preventing proper drainage. Can chiropractic help? Find out!