The Rockingham Chiropractor to see - Chiropractor Rockingham

New Patient Paperwork

Before you begin chiropractic care, we need to understand your health history and your health goals.

Print the appropriate form below out and fill it in before you arrive for your first visit.

Click Here Please click here  Adult .pdf  to download our Adult New Patient Questionnaire. 


   Please click here to download our Child New Patient Questionnaire.
Ages 6 - 16.

   Please click here to download our Baby New Patient Questionnaire.
Ages Birth - 5 Years

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Dr Ross Asks some important questions of interest to Rockingham residents - Chiropractor Rockingham Dr Ross Asks...

How could chiropractic help a stomach problem?
Chiropractic works by locating and reducing areas of the spine compromising nerve communications between your brain and your body. If nerves to or from your stomach are irritated, your stomach won't work right. Chiropractors find the source of the interference, reduce it and allow your body to work as designed.
What's the difference between a "good" drug and a "bad" drug?
As a chiropractor, I see the use of many drugs (legal or illegal) as merely symptom treating. Worse, virtually every drug produces unwanted effects. The effects of chiropractic are largely positive effects. If you're a Rockingham parent, consider carefully before giving your child a cough medication, cold remedy or pain reliever so this sort of question doesn't arise in the first place.