Online Paperwork

We offer our paperwork on line so you can complete it in the convenience of your own home.


New Patient/Health History Form

In order to better understand you unique health situation, this form let’s us know your previous health history and what’s happened now.

  Download & Print Form


Free AdobeReader®

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.




Family Chiropractic Care | 07 3286 9683

Cleveland Clinic
292 Bloomfield Street,
Cleveland Qld 4163
Waterford Clinic
36 Loganlea Road,
Waterford Qld 4133