If you need a more accessible version of this website, click this button on the right.Switch to Accessible Site

Livonia Chiropractor | Livonia chiropractic care | MI | Accident History New Patient Forms

TLC Holistic Wellness

 31582 Schoolcraft Rd, Livonia, MI 48150  
 Just W of Merriman off I-96 
 (734) 664-0339 

  OPEN:  Monday,  Wednesday,  Thursday,  Saturday


Dr. Carol Ann Fischer, BS, DC, ND, Retired 

Dr. Sherry Yale, D.C.

Holistic Chiropractic Wellness

Consultant, Clinical Nutritionist for Over 27 Years

Applied Kinesiology, Nutrition Respnse Testing®Whole Food Nutrition, 

 Weight Loss, Herbs, Diet & Lifestyle Help, Gentle Chiropractic 


Accident History New Patient Forms

If you have been in an automobile accident or other motor vehicle collision you will be asked to complete the following forms and bring them with you when you meet with the doctor.

The Accident History Form is six pages, with detailed questions regarding the type of accident, and injuries suffered as a result of the collision. Please complete these forms to the best of you ability. Accident History Forms

There are also 3 disability forms to be completed to help document your injuries, especially helpful when billing insurance companies. Download the print the following: Roland and Morris, Neck Disability Form, and  Low Back Disability Form.

Livonia Chiropractor | Accident History New Patient Forms. Dr. Sherry Yale, DC is a Livonia Chiropractor.