PATIENT INFORMATION

To make sure that we are giving the best possible care, please fill out the following forms at least 24 hours prior to your new patient appointment. 

 

Insurance

We accept most insurances including: BlueCross BlueShield, Cigna, United Healthcare, HealthScope, Health Partners, Amerigroup, Iowa Total Care, etc.  However, we are NOT in network with HMO. For a best estimate of what your coverage is, please call us so we can verify your benefits. 

Adult New Patient Forms

Please use this form for ages: 11+. 

*To complete, please click the link below. Your completed form will be emailed to our office*

PEDIATRIC New Patient Forms

Please use this form for ages: 0 - 10. 

*To complete, please click the link below. Your completed form will be emailed to our office*

ABOUT YOUR VISIT
What to expect at your first visit

At our chiropractic center our examinations procedures are geared toward detection and correction of the "Vertebral Subluxation" (click on this link for more information on subluxations). The procedures we use are therefore specifically selected for your spine and nervous system health. There are a couple of things that you should expect when you have a first visit at our clinic.

 

Our Examination consists of a thorough spinal and nervous system exam which includes "Palpation". Palpation essentially is checking your spine by hand. With this exam the doctor can feel areas of your spine that may be involved with subluxations problems. Spinal position, curvatures and muscle tone can also be examined as it relates to possible spinal subluxations. Your examination may also include some specialized equipment designed to better access your spine and nervous system. This examination could involve several components.

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The first part of this examination process may involve reading spinal heat differences from one level of the spine to another, as well as from one side of the spine to the other. Heat is a byproduct of circulation, which is controlled by the autonomic nervous system. From this we can see how subluxation may be affecting these functions of your nervous system.

 

In the second part of this examination scans may be performed on the surface of your spinal area to evaluate surface electrical impulses and measure them along your spine. This helps measure the effect of subluxation on the motor nerve system and the affect subluxations may be having on your muscles.

It is important to note that this examination helps scientifically understand the subluxation processes going on in your spine. It also gives us a baseline for future tests so we can accurately measure your progress to see how your spine is correcting and your nervous system is functioning. Using these examination procedures is much more accurate than just depending on "how you feel" on any given day.

Spinal X-rays may be taken depending on your age, and situation. There are many reasons why we would not take x-rays on certain patients including pregnancy, most children, recent usable spinal x-rays and some other various situations. Aside from these situations, x-rays are a common part of the examination process when looking for vertebral subluxations. X-rays give us important information including the position of the spinal bones, and the quality of the spine and safety of adjusting it. X-rays also tell us the relative length of time subluxations may have been involved in your spine. Commonly, most patients receive three spinal x-rays at the beginning of care.

With this important information we can make a more accurate determination of the type of adjustments your spine needs as well as the ongoing frequency of your care. We will give you a care plan and go over any special instructions you will need to obtain the best and fastest possible results. 

Our Chiropractic Care utilizes the most modern chiropractic analytical, and adjustive procedures and equipment available. We consider subluxations to be a serious threat to the quality and quantity of your health and that of your family. It is therefore imperative that we utilize the most modern, and the well established time-proven procedures to help you. We feel you're worth it!

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