New Patient Forms

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Case History Form

Welcome,

Congratulations, you have made the first step to improving your life and being healthier.  Above you will find your case history.  A chiropractic case history is very different from any other case history you have ever filled out.  It starts with your birth process, your childhood, and your current health today.  This will help to discover all of the spinal injuries you have had in your life.  Then you will describe your major complaint or if you are seeking wellness care.  There are many families receiving wellness care at our office. 

On your first visit the doctor will do a detailed case history review to obtain all the information necessary for your case.  Then the doctor will perform a complete spinal physical exam and if necessary take x-rays.  On your second visit, there will be a video presentation on x-rays to help you understand normal and abnormal x-rays.  This will help you understand your x-rays when the doctor shows them to you.  The doctor will then give you a written report of findings on your history, exam, and x-rays and make appropriate recommendations, you will begin your care. 

When you come for your visit please bring all your paperwork filled out and your insurance card (if you would like us to check on your coverage).  We look forward to helping you and your family.  If you have any questions before your visit please call (815) 335-1381. 

Welcome to our family practice.  We will give you our very best.

Freedlund Family Chiropractic

 

 

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