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


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. Alan H. Kunkel, Jr.| (610) 863-9220
964 Chestnut St., Lehigh Valley, PA

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Dr. Kunkel Asks some important questions of interest to Lehigh Valley residents - Chiropractor Lehigh Valley Dr. Kunkel Asks...

How long does it take to form a bone spur?
Many who begin chiropractic care think their problem happened "last week when you bent over funny." But pictures of the spine tell a different story. Chiropractors know it can take your body years to deposit the calcium necessary to form a bone spur. It's your body's response to stress due to gravity or joint malfunction. And chiropractic care can help.
Can a chiropractor heal?
There's never been a case in which a doctor (chiropractor or otherwise) has formed scar tissue, mended a broken bone or cured a headache. Only you can do that. Turns out you're the doctor! All I do is help remove interferences to your body's healing ability. Ready to get started? Call our office today.