Client Forms

Here you can submit your forms online or, if you prefer, print-at-home and bring into your next appointment.  Also, refer to the Post Therapy Goals printable below to get the most out of your most recent therapy session.
Post Therapy Goals
“I would highly recommend Teresa for her advanced knowledge, skill, and experience, of Myofascial Release work. Teresa has given my body more flexibility, release of scar tissue, pain relief, and relaxation of fascia, muscles, tendons and ligaments.”
Lisa S.

Health History Form

The health history form is now available online!
If you are a new client or have had changes in your health, please submit a new health history form online prior to your appointment by following the link below. If you prefer to print-at-home and bring your filled out form in to your next appointment, that option is available below too. I take your privacy seriously. You can read my terms & privacy policy here.

Insurance Form

Payment is collected up front at the time of service.  However, if your insurance covers massage or myofascial therapy you may be eligible for reimbursement.  You will need documentation from me before you can submit to your insurance company. Send me your required information online or print-at-home to bring into your next appointment so we can finalize it together. I take your privacy seriously.
You can read my terms & privacy policy here.

Find Me At Discover Chiropractic

Available By Appointment: Monday - Friday

101 E. Quincy Street
Hancock MI 49930
920-770-2203

Discover Chiropractic

101 E. Quincy Street
Hancock MI 49930

| 920-770-2203 | Mondays - Fridays

Disclaimer: This website is not meant to diagnose or offer medical advice. Do not rely on information provided as medical advice. Please seek the attention of a doctor or other healthcare provider for diagnosis and treatment of any suspected medical problem. Myofascial Release is an alternative holistic type of therapy that can be used along side conventional medical treatment to help improve one's well-being.