Health History

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.




Health History and Future

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




Automobile Accident

If your health issue is the result of a car accident, we need some additional information.
 Download & Print Form




Worker’s Compensation

If your health issue is the effect of an injury at work, this information will help us help you.
 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.




Muncy Family Chiropractic,
300 Moore Street, Ste B, Bristol VA | (276) 591-5448
Providing excellent chiropractic care to Bristol VA and Bristol TN.

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Select Topics:
Backaches & Sciatica
Headaches & Neck Pain
Wellness Topics
Diet & Nutrition
Exercise & Fitness
Women's Health Issues
Children's Health Issues
Stress Management

Dr. Muncy Asks some important questions of interest to Bristol VA residents - Chiropractor Bristol VA Dr. Muncy Asks...

Can someone who has had back surgery receive chiropractic care?
Yes. Rest assured that we will avoid the surgically modified areas of your spine. However, what we find is that surgical interventions will often produce spinal instability above or below the involved level. This is will be the focus of your chiropractic care.
What's the difference between sick care and health care?
Sick care is largely about relieving or suppressing symptoms. Health care is about improving performance. While sick care is about how you feel, health care is about how you function. Sick care is what you do to treat an obvious problem, and health care is what you do to avoid the problem and advance your well-being.