Welcome! This is what you can expect at your childs upcoming visits.
Please complete this simple admittance Form so we have an
understanding of their past and current health situation.
You will meet the doctor and discuss your health concerns.
We will conduct a thorough examination to locate the cause
of the problem and determine if you are a candidate for
chiropractic care. This includes a computerized assessment
of how well your nervous system is communicating with your
body. The assessment will include range of motion, surface
electromyography, which evaluates muscle function and balance
and an orthopaedic assessment. The doctor may also need additional
procedures, such as x-rays. If this is a chiropractic case,
we will develop a plan to help.
REPORT OF FINDINGS
During the second visit, the doctor will explain the
results of the examination. If we think that we can help,
we will recommend a schedule of care created just for you. During
this time we will also explain our financial policies and determine
insurance coverage, if applicable.
We find that when patients are empowered to help themselves,
they respond faster to care and remain healthier longer.
If we decide to accept your case part of the care involves an
opportunity to attend our health talk.
Please complete the following pages to save time and help us to
serve you better. Thank you.
Name of Pediatrician
Date of Last Visit
At what age, in months, was the following introduced?
At what age was your child able to (in months):
Personal Illness History