New Patient Intake Form
We prefer that new patients complete the form online using the link on the right, or download, print, and complete the forms below. This will expedite the process and saves the amount of time spent in the clinic.
Basic Patient Intake Form
Supplemental Intake Form (Personal Injury)
What to Expect
- Initial forms
- History and Examination
- Diagnostic Imaging
- Same Day Treatment
- Home Instructions
- Schedule Next Appointment
- Insurance/Payment Options
We prefer that all forms are downloaded and completed prior to entering the office for your first visit. This will expedite the process and saves the amount of time spent in the clinic. The paperwork provides general information about yourself and your condition. We also have forms available at the clinic in the event that completing the forms ahead of time is not possible.
After the forms have been completed, you will meet the doctor to discuss all of your health-related problems. We will recommend potential treatment options to see if your condition can be treated with chiropractic care or requires a referral to a specialist.
We will take a history to identify all of your health problems and concerns. Afterwards, a number of neurological, physical, and orthopedic tests will be performed to determine the root of the problem.
Depending on your presentation, we may ask for x-rays or an MRI. This is a safeguard, as we do not want to possibly aggravate your condition without knowing exactly what we are dealing with.
If there are no contraindications, we will proceed with your first treatment during the same visit. This may include chiropractic manipulations, physical medicine, and/or soft tissue therapies.
Before leaving, we will provide instructions about activities or procedures to be conducted at home.
3 Stages of Chiropractic Care
Stage 1: Initially, appointments are more frequent with the goal of relieving immediate pain and restoring function and mobility.
Stage 2: Next, the patient moves into a rehabilitative stage to continue the healing process and help prevent a relapse.
Stage 3: Finally, the patient may elect to receive periodic maintenance or wellness treatments, along with adopting healthy lifestyle habits, to stay in good health.
Overall costs for patients receiving care for back pain have been reported as lower for those who receive treatment from a chiropractor. While chiropractic care has become a well-accepted treatment for acute pain and problems of the spine, there are ongoing studies regarding its usefulness for problems such as ear infections, dysmenorrhea, infant colic, migraine headaches, and other conditions. As research continue, insurance companies will begin to cover more conditions.
It’s important to understand the costs involved with chiropractic care, what your insurance covers, and what your financial responsibilities may be.
Insurance coverage for chiropractic care can depend on a variety of factors. Most plans cover the cost of chiropractic care for acute (short-term) conditions. However, many patients often have a co-pay at the time of their visit.
When longer-term care is needed for conditions that are chronic, severe, or occur in conjunction with another health problem, be sure to talk with your insurance company to determine your benefits. Most cover initial and some rehabilitative care for acute conditions, but many do not cover maintenance or wellness care.
We are in network with the following insurance plans: Blue Cross Blue Shield, Aetna, United Health Care, Cigna, and Medicare.