Almaden Chiropractic Center Online Paperwork

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.


Initial Health Status

This lets us know what’s happened...
 Download & Print Form


Neck Pain Questionnaire

If you are visiting our office because of neck pain, please bring this completed form...
 Download & Print Form


Back Pain Questionnaire

If you are experiencing back pain, this information will help us help you.
 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.

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A.C.C. Asks some important questions of interest to San Jose residents - Chiropractor San Jose A.C.C. Asks...

How long does it take to form a bone spur?
Many who begin chiropractic care think their problem happened "last week when you bent over funny." But pictures of the spine tell a different story. Chiropractors know it can take your body years to deposit the calcium necessary to form a bone spur. It's your body's response to stress due to gravity or joint malfunction. And chiropractic care can help.
What's the purpose of a surgeon's mask?
When I ask most people in San Jose this, most think it protects the patient from the doctor's germs. But it's so porous it does little to prevent the passage of germs. We chiropractors don't bother with masks.