Online Forms

We offer our paperwork on line so you can complete it in the convenience of your own home.


Health History

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

  Download & Print Form


Home Spinal Rehabilitation Program

Dr. Shafer has specific exercises to aid in your healing process.  Please click on the link at the bottom of the page to view or print this online resource demonstrating the recommended exercises.

This program is specially designed to accelerate your healing process. The program will help to restore the curves of the spine (Arcs of Life), flexibility, strength and energy flow. Included in this program is a cervical pillow, cervical traction unit and the home exercises below. The cervical traction unit and cervical pillow will be given out and explained at the Back to Health Workshop. For now, you can start with these home exercises. Do the following course six times a week. Please go slow and take the time to build up to the recommended repititions. We will answer any questions you might have at the Back to Health Workshop.  

  Download & Print Handout


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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