All new patients are requested to thoroughly complete a confidential “Health Record”.
Your first “Consultation” with the doctor is to discuss your child's health problems and goals.
Your child will receive a “Chiropractic Examination” to determine if chiropractic care is appropriate for his/her condition.
An in-depth, advanced assessment of your child's nerve and energy system to determine how well their brain is communicating with their body. Any interference to this communication may be measured by the following tests: Spinal Function, Range of Motion, Postural Assessment, Muscle Testing, Spinal and stress Scans. As well, if indicated, x-rays will be taken to visualize the location of spinal problems.
You will be given an appointment to return for your child's “Report of Findings”, when your doctor will inform you as to the examination results and how we may help your child. The best course of action and a recommended treatment program will be explained to you.
Chiropractic care will begin after their Report of Findings and continue as scheduled until your child's condition has been fully corrected, or until the maximum possible improvement has been obtained.
To save time and allow us to better serve your child, please complete all questions on the next pages. Thank you!
Addressing What Brought You Into This Office:
Please fill out the next sections as best you can.
Interventions during delivery?
Your child was born:
If you can recall, at what age did your child (please indicate number in months):
What are your expectations and goals for your child by coming here, how might we be able to help them? Indicate at least 3 goals.
Why Chiropractic Care?
People go to a Chiropractor for a variety of reasons. Some go for symptomatic relief of a condition (Relief Care). Others are interested in having the cause of the problem as well as the symptoms corrected and relieved (Corrective Care). Still others want whatever is malfunctioning in their bodies brought to the highest state of health possible with chiropractic care (Preventative Care). These are the three phases of care. Your doctor will weigh your child's needs and the parent's desires when recommending a schedule of care. How long you choose to benefit from Chiropractic is always up to you.