The Wilmington Chiropractor to see - Chiropractor Wilmington

Health History

We offer our paperwork online so you can complete it in the convenience of your own home. Simply click to download and print the paperwork, and bring it along with you to your first visit. Here are the essential forms we use and why we need them.



Health History and Future

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



Auto Accident

If your health issue is the effect of an injury suffered in an auto accident, this information will help us help you.
 Download & Print Form



Neck Disability Index / Revised Oswestry Low Back Pain Questionnaire

If you have received chiropractic care elsewhere, or have medical records we will need from another practitioner, please sign this release.
 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.



First State Health & Wellness
910 North Union St # 3, Wilmington, DE | (302) 654-4001
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Dr. Briggs Asks some important questions of interest to Wilmington residents - Chiropractor Wilmington Dr. Briggs Asks...

What's a side effect?
It may sound like a bonus; something extra, but chiropractors know it should more accurately called an "unintended effect," and "unwanted effect" or in some cases an "adverse effect." A pill can't come close to matching your body's ability to create and deliver the essential compounds it needs. That's when it's important to make sure your nervous system is working correctly—the purpose of chiropractic care!
What's your plan to deal with drug-resistant 'super germs'?
Chiropractors have always been concerned with the indiscriminate use of antibiotics, accelerating the mutation of microbes that make "wonder" drugs increasingly ineffective. My strategy? Do everything possible to bolster my immune system through proper diet, rest, exercise, clean air, pure water and an optimally functioning nervous system with regular chiropractic care.