About You & Your Pittsburgh Lifestyle

We offer our forms online so you can complete them in the convenience of your own home. Simply print the forms, complete them prior to visiting Doctor V, bring them with you on your first visit, and relax. This will enable your first visit to be expedited more efficiently and save you time, making your visit more enjoyable. Please make certain that all sections are complete. If you have any questions, feel free to contact the office by calling us or using the links below.


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Adult Forms

For ages 16 and up.

  Download & Print Form




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Child Forms

For ages 15 and under.

  Download & Print Form




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Lifestyle-Based™ Reevaluation Questionnaire

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.


Dr. V Asks some important questions of interest to Pittsburgh residents - Chiropractor Pittsburgh Dr. V Asks...

What can a chiropractor do for asthma?
Many people think of chiropractic as exclusively dealing with the spine. But I'm interested in the spine because it covers the nervous system. Problems in the spine can produce problems in the organs and tissues controlled by the affected nerves—including those to the lungs and bronchial tubes. Find out how chiropractic care has helped those with asthma.
Are aches and pains good or bad?
While aches or pains may be unpleasant, they're merely warning signs. As a Pittsburgh 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.