Online Paperwork

We offer our paperwork online so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.




New Patient Health History Form

 Download & Print Form




New Patient Health Questionnaire Form

 Download & Print Form




Systems Review

Please note this is a 2-page form.

 Download & Print Form



Workers' Compensation Patient History Form

Please note this is a 2-page form.

 Download & Print Form




Personal Injury Patient History Form

Please note this is a 5-page form.

 Download & Print Form




EDS Evaluation Form
 Download & Print Form


Free AdobeReaderŽ

Each form is a PDF document file.  If you do not already have AdobeReaderŽ installed on your computer, click the AdobeŽ image to download for free.




Valley Chiropractic Associates
2999 County Road 42, Ste. 212, Burnsville, MN | (952) 882-1965

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Dr. Geary Asks some important questions of interest to Burnsville residents - Chiropractor Burnsville Dr. Geary Asks...

How come medical doctors don't recommend chiropractic?
That's changing. Years of prejudice and bias are giving way to research showing the benefits of chiropractic care. As more and more Burnsville folks seek alternatives to drugs and surgery, more and more medical practitioners are referring their patients to chiropractors.
Do nerves actually get pinched?
Chiropractors recognize two types of nerve disorders involved in subluxation. The least common is a pinched nerve that diminishes nerve supply to an affected organ or tissue. More common is the irritated nerve (facilitative lesion) which overexcites nerve communications to an affected organ or tissue. Chiropractic care has been shown to help with both types.