Just The Basics...


What's Going On?


Anything Else?

Please select all that apply


If you have any old X-rays, Report or Scans, related to this primary complaint, please bring them with.



Your Health Goals

If our body is not working well, we feel like we're being held back... What would you like to do if you did not have any pain?



The "Superman" Disclosure

I understand that the Chiropractor...

...cannot be expected to be aware of any health issues if I do not disclose them.

...does not have X-Ray vision and cannot see my spine without X-rays.

...is not a cowboy and will not give me "a quick back and neck crack" without a thorough examination.

...is unable to time travel, so missed appointments will be paid for in full: Someone else missed out.

...is not a magician and cannot make a problem go away in a single visit: Healing takes time.

...is not a mind reader, so regular feedback is required for better outcomes.

...IS DEDICATED TO HELPING YOU GET BETTER AND STAY WELL!

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