Online Forms

We offer our paperwork on line so you can complete it in the convenience of your own home.


Insurance / Cash

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?

 Download & Print Form


Automobile Accident

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

 Download & Print Form


Worker’s Compensation

If your health issue is the effect of an injury at work, this information will help us help you.

 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.


If you have any questions or concerns, please feel free to call Graceland Chiropractic at (614) 436-2225.




Graceland Chiropractic
200 Graceland Blvd, Worthington Columbus, OH | (614) 436-2225
Where the Pros go in Worthington Columbus, Upper Arlington & Clintonville

Subscribe to our Worthington Columbus chiropractic newsletter Free Newsletter

Receive free professional health tips on topics that interest you.
 
 
Select Topics:
Backaches & Sciatica
Headaches & Neck Pain
Wellness Topics
Diet & Nutrition
Exercise & Fitness
Women's Health Issues
Children's Health Issues
Stress Management

The Doctor Asks some important questions of interest to Worthington Columbus residents - Chiropractor Worthington Columbus The Doctor Asks...

Why is a "slipped disc" unlikely?
Separating each spinal vertebra is a disc. Its fibrous outer ring holds in a jelly-like material. Because of the way a disc attaches to the spinal bones above and below it, it can't actually "slip." However, a disc can bulge, tear, herniate, thin and collapse. But it can't slip.
How do most people deal with subluxations?
First, they try to ignore them. When they don't, they go to the medicine cabinet to stop their brain from feeling the symptom. Later, back surgery may be threatened. Sadly, it's not until this later stage that they consult our Worthington Columbus chiropractic office. Yet, even with the delay, most are delighted by the results produced by today's chiropractic care. Contact us and let's get started.