Get Back To Balance


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Each Back to Balance office is situated within a luxurious Burke Williams Spa*.

*Back To Balance is a privately operated business and, with the exception of location, is not associated with any Burke Williams Spa

Our Doctors.
Office Locations.
Chiropractic Resources.
Office Hours.
Contact Us.
Online Forms.
Payment Options.

Back to Balance offers our patient form(s) online so you can complete it in the convenience of your own home or office.



New Patient Health History Form - Required


This let’s us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!


Download & Print Form


Adobe Reader 9.1
(includes on Adobe AIR)

Windows XP SP2 - SP3, English, 41.1 MB