New Patient Forms

Before you begin chiropractic care, we need to understand your health history. If you would prefer to fill out your paperwork before coming into our office please download the appropriate form below and complete it before you arrive for your first visit.


Baby Entrance Form

  Download our Baby entrance form here for ages 0 - 2 years


Child Entrance Form

  Download our Child entrance form here for ages 2 - 12 years


Adult Entrance Form

  Download our Adult entrance form here


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.


If you have any questions or concerns, please feel free to call us at (07) 348 0959.




Funnell Family Chiropractic
1360 Eruera Street, Rotorua, BOP | (07) 348 0959

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Your Chiropractor Asks some important questions of interest to Rotorua residents - Chiropractor Rotorua Your Chiropractor Asks...

Why does chiropractic work?
Chiropractic works because your nervous system, consisting of your brain, spinal cord and all the nerves of your body, controls and regulates every cell, tissue, organ and system of your body. A chiropractor locates and reduces areas of nervous system compromise (usually along the spine) so your capacity to heal is restored. Chiropractic works by helping your body work as it was designed.
What are the two things drugs do?
Drugs can either speed up (laxatives, amphetamines, caffeine) a bodily process, or slow down (stomach antacids, sleep aids, antihistamines, muscle relaxers) a bodily process. Chiropractic care can produce the same results, but relies on the intelligence of the body. Chiropractors trust your body. Do you?