The Victoria Chiropractor to see - Chiropractor Victoria

Health History

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.

Patient Intake Form (Adult)

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

Patient Intake Form (Child)

This is to let us know how we can help your child.
Download & Print Form

Personal Injury

If your health issue is the result of a non-work related accident, we need some additional information.
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.

Call today to schedule your appointment

Dr. Becky Pauly & Dr. Amber Miller | (952) 443-3710
1405 78th Street, Victoria, MN

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Dr. Becky Asks...

Where do most Victoria residents get their first subluxation?

Being born in a hospital is a common source of subluxation. Trauma from forceps delivery has been replaced with drugs, vacuum extraction, Cesarean section and births that are "scheduled" to fit the workweek routines of Ob-Gyns. That's why we recommend a chiropractic checkup for every Victoria newborn.

Why do so many drugs require a prescription?

Because they can be dangerous? I chose a chiropractic career specifically because it avoids artificial means of pain relief. Our Victoria chiropractic practice attracts health-conscious families that prefer a safe and natural solution. Ready to get started? Call our office today.