Chiropractic Intake Form

The musculoskeletal system is an important system of our body which allows us to move about and stay mobile all our lives. Have you ever heard about the chiropractor? No? No worries, let us introduce you to the term and then to the form which a chiropractor has to fill before taking a patient.

What is chiropractic practice?

This is an alternative medicine that has been brought into practice for ages now. This practice basically involves our musculoskeletal systems and the problems associated with it. Chiropractic is responsible for the diagnosis and treatment of the disorders associated with our musculoskeletal system. Spinal manipulation is the key factor of chiropractic medicine because it is believed that a lot of mechanical disorders occur due to subluxation of the vertebral column at any level. This method is called as spinal manipulation therapy SMT. Some other methods of treatment in chiropractic medicine involve the manipulation of joints and soft tissues around them.

Chiropractic has become an age-old practice and has been fully established in many regions of the world. It is very well functioning in some parts of the United States. Other regions where this is practiced, involve Canada and Australia. This medicine basically is a hybrid of osteopathy and physical therapy. Many people from around the world who have back pains, especially lower back pains, seek a chiropractor for the relief of their miserable pain.


Who was the founder of chiropractic medicine?

As interesting as it seems, chiropractic medicine has quite an interesting history too. Chiropractic medicine was founded in 1890 by D.D. Palmer. He claimed that he received, rather was blessed with this knowledge from some other world and not from the usual medical practice or any of his own searches. He put all his efforts to expand this practice through the idea of innate intelligence and subluxation theory. Another important aspect of this practice is that it does not encourage the idea of vaccination. The practice believes in innate intelligence and immunity created by the help of this instinctive intelligence.

In the recent years, all the efforts made by its founders happen to show results and today, chiropractic has gained legitimacy in a more acceptable way and now, we see many chiropractors practicing their medicine all over the world.

Chiropractic intake form

Chiropractic intake form is basically a kind of consent form in which the patient or the care taker consents for the treatment offered to the patient. This form includes the information of the patient and also of the chiropractor. Presenting complaints of the patient are also mentioned in the form. General information about the current health status is also assessed through a number of questions in the intake form.

In one of the columns provided in the form, the patient has to rate his pain from one to ten. It tells us how the patient’s perception of pain is. The activity level of the patient is also assessed through some questions in the form.

Chiropractic Intake Form Template

Simi Karton

Simi Karton is a regular contributor to National Science Quarterly and an enthusiastic Lakers fan. She recently collaborated on a manuscript with friends and colleagues. Dr. Simi Karton, entitled Parkinsons and the Genetic Response to Eastern Medicine, in which she and Dr. Inshal presented research compiled during a summer spent in United States. She currently resides in Los Angeles with her husband. This website is a voluntary work of Dr. Karton to provide people with useful health related information stuff at an easy approach. The information has been collected from different sources at one place.

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