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

Coming Soon



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. Robert Vano | Phone: (724) 695-8090
160 Imperial Plaza Drive, Imperial, PA

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

What's the difference between sick care and health care?
Sick care is largely about relieving or suppressing symptoms. Health care is about improving performance. While sick care is about how you feel, health care is about how you function. Sick care is what you do to treat an obvious problem, and health care is what you do to avoid the problem and advance your well-being.
What's the difference between a "good" drug and a "bad" drug?
As a chiropractor, I see the use of many drugs (legal or illegal) as merely symptom treating. Worse, virtually every drug produces unwanted effects. The effects of chiropractic are largely positive effects. If you're a Pittsburgh parent, consider carefully before giving your child a cough medication, cold remedy or pain reliever so this sort of question doesn't arise in the first place.

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