The Beerescourt Chiropractor to see - Chiropractor Beerescourt

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.

Comprehensive Health Profile

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?
 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 Dr. Chad Chiropractor For Life at +64 7 849 7337.



Dr. Chad Chiropractor For Life
318 Te Rapa Road, Beerescourt, WKO | +64 7 849 7337
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Dr. Chad Asks some important questions of interest to Beerescourt residents - Chiropractor Beerescourt Dr. Chad Asks...

Can chiropractic relieve PMS?
If you have subluxations, especially in the lower spine that impair nerves that direct and monitor the reproductive and hormonal systems, chiropractic could be helpful. Undetected subluxations may also be responsible for pelvic pain, incontinence, sexual dysfunction and even infertility. Maybe chiropractic can help. Find out!
How do you know when you're healthy?
Ask most Beerescourt residents this simple question and you're likely to hear, "When you feel good" or "When you're at your proper weight for your height" or "When you have lots of energy and vitality." Great answers. But our chiropractic patients know that true health is when your body is working as it was designed. True health is how you function, not how you feel.