New Patient Forms

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.


New Patient Form

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


Phases Rehab Exercise Sheet

  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.


Ready to make an appointment? Give our Parkersburg office a call today.




Dr. William Johnson II, 706 Division St, Parkersburg, WV | (304) 422-1191

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Dr. Bill Asks some important questions of interest to Parkersburg residents - Chiropractor Parkersburg Dr. Bill Asks...

Can someone who has had back surgery receive chiropractic care?
Yes. Rest assured that we will avoid the surgically modified areas of your spine. However, what we find is that surgical interventions will often produce spinal instability above or below the involved level. This is will be the focus of your 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.