The Gonzales Chiropractor to see - Chiropractor Gonzales

Online Forms for Smith Chiropractic Clinic

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

Adult Chiropractic Health Questionnaire

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

Download & Print Form

Child Chiropractic Health Questionnaire

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

Download & Print Form

Patient History Exam Form

Please complete this form in addition to the Chiropractic Health Questionnaire.

Download & Print Form

Automobile Accident / Worker's Compensation

If your health issue is the result of a car accident or injury at work, we need some additional information. Please complete the following two forms.

Download & Print Form

Download & Print Form

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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.

Dr. Phillip Smith, 12320 Highway 44, Suite A, Gonzales, LA | (225) 644-8671

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Dr. Smith 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 Gonzales folks seek alternatives to drugs and surgery, more and more medical practitioners are referring their patients to chiropractors.

What's the difference between a "good" drug and a "bad" drug?

As a chiropractor, I see the use of many drugs (legal or illegal) as merely symptom treating. Worse, virtually every drug produces unwanted effects. The effects of chiropractic are largely positive effects. If you're a Gonzales parent, consider carefully before giving your child a cough medication, cold remedy or pain reliever so this sort of question doesn't arise in the first place.