New Patient Forms
Below are links to our new patient forms. All new patients are required to fill out these forms on their first visit to Collyard Chiropractic. They provide us with a documented background of your personal information, any ongoing health issues and the primary reasons for your initial visit. They also help us recommend the best possible treatment for you.
We know you’re busy and your time is precious. By filling out these forms prior to your first visit, we can help save you that precious bit of time in our office and get right to business on your first visit. Simply click on the following links, print the forms, fill them out and bring them with you on your first visit. We look forward to seeing you then!
Patient Intake Form
Health Questionaire
Medical History Form
Family History Form
Please note: These forms are in PDF format. You can probably view and print them right from your browser, but if that doesn’t work, you may need to install Adobe Reader or some other PDF reading software. You can download Adobe Reader for free from Adobe’s website.
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Testimonials
Twice I requested treatment, one for my neck and the other for a muscle in my right hip. The next problem caused me very limited head movement to either side. After several weeks of adjustments and doing the exercises Dr. Carrie had given me to do along with the treatments, the condition was totally resolved with no use of any drugs.
The right hip problem had gotten to the point that using steps or putting on shoes was next to impossible. I had to get creative with putting on shoes. Again, after several weeks of chiropractic adjustments and exercises, the pain was gone and has not returned. No drugs were used this time either.
I sought chiropractic treatment because if I went to a regular physician, I would be given muscle relaxers which would “mask” the real problem. I wanted to be healed of the pain and limitations in a safe way. Dr. Carrie helped make my recovery happen!
I have had migraine headaches for the past 10-15 years. It’s been consistent head pain and back twitches and pain shooting down my leg. I use a computer at work and the pain would get so bad I would often have to leave early, not to mention all the other normal activities I couldn’t do because of my bad headaches.
In the past I’ve tried over-the-counter drugs and migraine medicine and they provided no help. I also tried going to another chiropractor, but he just made things worse.
When I first decided to make an appointment with Dr. Carrie I was scared, but she has a very gentle approach and explained everything she was doing. I love the care I get from Dr. Carrie! Now I have fewer headaches and more energy because I’m in a lot less pain. I definitely recommend Dr. Carrie to all my friends and family!
I came to see Dr. Carrie for severe low back pain. The back pain was bad enough, but I was also getting pain and numbness in both of my legs. I could barely move; walking, sitting and standing all hurt! I was forced to take time off from work. After about a week of suffering, I finally went to see Dr. Carrie. Following only a few treatments, I got much needed relief from my back and leg pain. It wasn’t long before I was able to return to normal activity.
At first I didn’t believe in chiropractic. But after going, I wish I had done it sooner. I now recommend Dr. Carrie to anyone who is suffering. My family and I are patients for life!
I’ve been suffering with neck, shoulder and low back pain and headaches for several years due to fibromyalgia. The pain prevents me from working and has cut my daily activities and hobbies to a minimum. I’ve tried many things in search of pain relief including physical therapy, pain clinics, and medication. Chiropractic care and acupuncture have given me the best results. After my treatments I feel refreshed, less stressed, my alertness is better, muscles are more relaxed, I have less pain. I would not be without Dr. Carrie and chiropractic! They are at the top of my list for health maintenance!
I had been suffering from a very painful choking feeling in my throat and chest for about 6 months. I felt weak and tired because I was really unable to eat due to the pain. I’d been to many medical doctors and tried a variety of medicines that they prescribed all to no avail.
After several chiropractic adjustments with Dr. Carrie, I feel 95% better! The adjustments helped clear my throat and eating is no longer uncomfortable or painful. I now feel stronger and I have more energy and ambition than I have in months. I would definitely recommend Dr. Carrie and her staff!
I was in a terrible car accident about 2 years ago in which my car flipped and slid down the highway. Ever since, I’ve had awful burning and tightness in my shoulders and back. Since I’ve been seeing Dr. Carrie, I’ve had great relief from the pain. Dr. Carrie is absolutely wonderful and her treatment has been very effective. I highly recommend her!
I first came to Collyard Chiropractic in December of 2011, needing help with depression and anxiety. I was tired of my family doctor telling me I needed to be on medication that would treat how I was feeling. I was desperate for another form of treatment.
My first visit with Dr. Carrie made me feel like I had finally found where I was supposed to be for healthcare. Dr. Carrie actually listened to me, first as a doctor, then as a fellow wife and mom. She suggested acupuncture, much to my dismay (needles!? in my back!?!). Since nothing else had previously worked, I trusted her judgement. After about a month of acupuncture treatments (roughly 8-10 visits) I was amazed at how much better I felt and was sleeping better than I had in a very long time.
Soon after my first acupuncture treatment I attended one of Dr. Carrie’s essential oils classes. I learned what oils to use to treat certain conditions and how to apply them. I immediately started using them on myself and my 18 month old. The combination of acupuncture and essential oils completely turned our family’s well-being around! I use oils almost daily as a preventative measure against illness with much success. In the past year and a half we have only made one extra clinic visit, outside of annual physicals. We have dramatically cut down the duration’s of colds and I have learned to treat an ear infection without a trip to the doctor!
My family and I are so grateful to Dr. Carrie, Julie and Laura for the care we receive, from adjustments and acupuncture, to caring for our 3 year old Reese while mom and dad receive treatment. We love that the office is kid friendly and Reese loves playing in the toy room and visiting with Julie. We have recommended Collyard Chiropractic to everyone, especially if traditional medical treatment has not been successful.
In June of 2003, I was diagnosed with stage 4 colon cancer. Dr. Carrie discussed with me the benefits of EDS even though I had been given the cancer diagnosis. I began doing the recommended treatment of detoxifying and supplements for areas of the body that were affected a month before I went for surgery. I went into surgery feeling better and stronger. I stopped the detox while on chemotherapy, but continued on the supplements.
I am pleased to tell you that I am now at 21 months with no signs of cancer, even though I was told that I had less than a 10% chance of survival. Thank you Dr. Carrie!
A couple months after our son came into the world, my husband and I noticed he favored one side and was uncomfortable moving his head and neck to the right. We were unsure why this was and when we brought him in for his 3 month check up the doctor told us we need to make sure we keep switching his head to each side. If he continued to lie on just one side he would eventually have a flat spot and become a good candidate for getting a helmet. We kept trying to switch sides but we could see it was painful for him.
A couple years back we brought our oldest son to see Dr. Carrie when he was getting a lot of ear infections. Since then he has not had one. So we had confidence that she could help our newborn now. She diagnosed him with Torticollis and explained that Torticollis is when your neck does not have full range of motion which has multiple causes, including the way a baby is born and how the baby grows in the mother’s womb.
Dr. Carrie started treating him immediately and always made us feel comfortable by explaining what she is going to do and why before she starts the treatment. After two treatments we saw a huge improvement and after several more treatments he was able to finally move his head and neck with a full range of motion. She saved us from a costly helmet (that most insurances do not cover) and most importantly gave us a normal and happy baby.
We are always amazed by our children’s results to her treatments and we are so grateful for her expertise. Dr. Carrie and her staff are so caring and always made our family feel right at home. They are so eager to help and answer any questions we have. I would recommend Collyard Chiropractic to everyone!
I have to give a little love here – Your clinic is amazing. I have been seeing Dr. Laura for about a month or so. I came into the clinic with numbness that made doing daily things very hard, pain which caused me to not move as I should and daily headaches. After just a few adjustments and some good loving care and some vitamin recommendations; I feel like a brand new woman (even feeling more like my own age)! The pain has decreased substantially and I really do believe I owe this to Dr. Laura! I just needed to share this because chiropractic care really does make a difference and Dr. Laura has helped me to feel like the age I really am again!!!!! Thank you Dr. Laura and Thank you Collyard Chiropractic!!
