Online Forms

We offer our paperwork online 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


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.




Dr. Kelly Delorey and Dr. Jesse Lufkin 
591 North Avenue, Door 4, Wakefield, MA | (781) 246-2888

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Dr. Delorey Asks some important questions of interest to Wakefield residents - Chiropractor Wakefield Dr. Delorey Asks...

How come medical doctors don't recommend chiropractic?
That's changing. Years of prejudice and bias are giving way to research showing the benefits of chiropractic care. As more and more Wakefield folks seek alternatives to drugs and surgery, more and more medical practitioners are referring their patients to chiropractors.
What happens if you stop chiropractic care when you feel better?
Many Wakefield folks recognize that this predisposes you to a relapse. Chiropractors know that muscles and ligaments supporting the spine don't fully heal until after symptoms subside.