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




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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.




Dr. Michael Renk,
9001 Marshall Road, Greater Pittsburgh, PA | (724) 779-9600
Greater Pittsburgh and Cranberry Township families enjoy chiropractic and its amazing benefits.
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