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?

 Adult - Download & Print Form

  Child - Download & Print Form



Automobile Accident

  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.


Call today to schedule your appointment.




Dr. Michael S. Diehm | (480) 491-9699
500 W. Ray Rd, Ste 1, Chandler, AZ

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Dr. Mike Asks some important questions of interest to Chandler residents - Chiropractor Chandler Dr. Mike Asks...

Will chiropractic adjustments make my spine too loose?
No. Only the spinal joints that are fixated and "locked up" receive attention. The occasional spinal joint that moves too much is passed over so weakened muscles and ligaments can strengthen and heal.
Can chiropractic cure a child's ear infections?
Chiropractic isn't a cure for anything. Nor is it a treatment for ear infections. However, many children who suffer with ear infections also suffer from spinal problems in their neck, compromising nerves to the ear, depressing the immune system and preventing proper drainage. Can chiropractic help? Find out!