The Roseville Chiropractor to see - Chiropractor Roseville

Online Forms

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

Health History

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

Adult Intake Form

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Child Intake Form
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Spinal Decompression

If you are interested in Spinal Decompression Therapy, please fill out this form and bring it with you to your first appointment.

Spinal Decompression Application Form

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Release of Records

If you have received chiropractic care elsewhere, or have medical records we will need from another practitioner, please sign this release.

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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.

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Dr. Lupo Asks some important questions of interest to Roseville residents - Chiropractor Roseville Dr. Lupo Asks...

Will chiropractic adjustments make my spine too loose?
No. Only the spinal joints that are fixated and "locked up" receive attention. The occasional spinal joint that moves too much is passed over so weakened muscles and ligaments can strengthen and heal.
Are aches and pains good or bad?
While aches or pains may be unpleasant, they're merely warning signs. As a Roseville chiropractor, I see this all the time. The pain is not the problem! It just means a limitation has been reached and something needs to change. That's when we get to work correcting the underlying cause.