Adult New Patient Form

Step 1: All new patients are requested to thoroughly complete a confidential “Health Record”.


Step 2: Your first “Consultation” with the doctor is to discuss your health concerns and goals.


Step 3: You will receive a “Chiropractic Examination” to determine if chiropractic care is appropriate for your condition.


Step 4: An in-depth, advanced assessment of your nerve and energy system to determine how well your brain is communicating with your 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.


Step 5: You will be given an appointment to return for your “Report of Findings”, when your doctor will inform you as to the examination results and how we may help you. The best course of action and a recommended treatment program will be explained to you.


Step 6: Chiropractic care will begin your Report of Findings and continue as scheduled until your condition has been fully corrected, or until the maximum possible improvement has been obtained.

To save time and allow us to better serve you, please complete all questions below. Thank you!

COPYRIGHT © 2020 Holistic Chiropractic & Wellness Centre