Patient Forms

In addition to practicing chiropractic care for over 30 years, Dr. Michael Veselak, D.C. is Board Certified in Integrative Medicine and a Certified Functional Medicine Practitioner, allowing him to thoroughly evaluate patients neurologically and metabolically. With a focus on integrative medicine, Dr. Veselak approaches each case from a functional health perspective, concentrating on the root cause of each condition rather than merely the symptoms themselves. Dr. Veselak has the education, the credentials, and the experience to examine your case through comprehensive lab results, detailed testing, previous MRI’s and/or x-rays and thorough medical history.

To make your intake process as seamless as possible, you can download your New Patient Intake Forms below. Make sure to complete each form prior to your initial exam. If you have any questions, Dr. Veselak can review your concerns during your appointment. If you have any previous lab results  MRI and/or X-ray Reports, please bring your records to your exam.

New Patient Forms 

New Patient Intake Form

Assessment Forms 

Neurotransmitter Assessment Form

Metabolic Assessment Form


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