Assessment

PLEASE READ -- The consultation is a way for you and the doctor to meet one-on-one to discuss any questions, comments, and concerns that you may have. You get the chance to see some of the chiropractic neurological exams, tests, modalities, and adjustments that are implemented in the office. Please provide as much information that you can in the form below.

1. Client Information

2. Getting to Know You

Does your condition affect the following issue(s)?

3. Balance Issues (leave blank if not apply)

4. Neck/Back Pain (leave blank if not apply)

5. Other Neurological/Musculoskeletal Conditions

Thank You for filling out the information and submitting it to the website. The above information allows Dr. Walker to have a better understanding of what is going on with you and get to know you better.