Online Admitting Paperwork

We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.


Patient Intake Forms

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


Personal Injury Intake Forms

If your health issue is the result of a vehicular accident, we need some additional information.
 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.

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Dr. DeMalio Asks some important questions of interest to Trumbull County residents - Chiropractor Trumbull County Dr. DeMalio Asks...

Could a chiropractor put an end to bedwetting?
If bladder control seems elusive, consider chiropractic. If spinal bones are interfering with nerves that control your child's bladder, plastic sheets, alarms and other methods simply add to the embarrassment. Trumbull County parents are often amazed (and relieved) that chiropractic can be so helpful. Learn more.
How do you know when you're healthy?
Ask most Trumbull County residents this simple question and you're likely to hear, "When you feel good" or "When you're at your proper weight for your height" or "When you have lots of energy and vitality." Great answers. But our chiropractic patients know that true health is when your body is working as it was designed. True health is how you function, not how you feel.