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.

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Child Forms

For ages 15 and under.

  Download & Print Form




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Lifestyle-Based™ Reevaluation Questionnaire

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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.


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

How could chiropractic help a stomach problem?
Chiropractic works by locating and reducing areas of the spine compromising nerve communications between your brain and your body. If nerves to or from your stomach are irritated, your stomach won't work right. Chiropractors find the source of the interference, reduce it and allow your body to work as designed.
Would you rather feel good or be healthy?
Ask most people in Pittsburgh and they want to feel good. Careful! Would you take medicine that makes you feel good, rather than vomit to expel improperly prepared food? Every chiropractic practice member knows that you can't measure your health by how you feel. True health is when your body works as it should.

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