Chiropractic Re-Assessment

This questionnaire is a supplementary questionnaire for Chiropractic patients and is meant to update profiles of those currently in treatment or to gather information on a new pain or issue from a current patient. If you are a new patient and coming to see Dr. Paul for chiropractic care, this form is a part of the chiropractic intake form. If you are a new patient and coming to see Dr. Paul for wellness instead, but are currently suffering from pain, you may be directed to this form; please fill it out to the best of your ability.

Dr. Kwik's Body Intelligent Center

Dr. Paul is a Chiropractor and has enjoyed an active practice in Orange County, California since 1993 and he is grateful to have helped many people throughout Orange and Los Angeles counties obtain the relief and health they desire. He has a family practice ranging from newborns to the elderly; treating a variety of symptoms ranging from runny noses, digestive disturbances and endocrine imbalances as well as migraine headaches, neck/low back and extremity pain.

Dr Kwik specializes in Gentle, Non force Chiropractic care (Active Release Technique and Acupressure for Pain and Stress Reduction) and Specific Bio Electric Reflex testing (Nutritional Reflex Assessment) to analyze the body’s nutritional and structural imbalances so that the root cause of a problem can be identified. Many come to Dr. Paul after treatments with other practitioners have failed.