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.


Health History and Future

This let’s us know what’s happened, but equally important, where do you want to take your health?  We know a lot about the many different areas of alternative medicine  We're happy to answer your questions and help you make the decisions that best serve you in your recovery.

 Download & Print Form


Automobile Accident

If your health issue is the result of a car accident, we need some additional information.

 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.




Dr. Brett Hightower, Dr. George Tyler & Dr. Glen Peterson,
Midtown Raleigh, North Carolina Chiropractors | (919) 873-2225
Helping families in Midtown Raleigh and surrounding areas with all of their chiropractic needs.
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