Introduction to the Office
Let us extend a warm and personal welcome to you and your family on behalf of the 100% team! We want to provide you with the finest health care and we’ll offer you many informative and entertaining educational opportunities.
First, you will want to make informed decisions regarding your family's health. During the course of your child's care you will be presented with several choices that will affect your ability to reach your individual health objectives.
Second, this information will be useful in making decisions about your child's health for the rest of his/her life.
To begin this process, here are a few important terms and procedures as you begin care:
On your child's first visit we will gather information about him/her through our Initial Discovery (examination and consultation). There will be someone here to assist you in each step along the way. If you’re not sure about what we need, just ask. Nothing will be done
without your consent and full understanding.
We will be giving you information and clinical data in the form of literature, personal and media presentations. These are designed to help you understand your own case and the procedures you’ll experience in this office. Everything is brief and to the point. It is recommended that you read the material and keep it together for reference during the course of your care.
Just as we need to know about your child, you should know about us. Chiropractic education currently consists of four years of pre-Chiropractic college education in the biological sciences, followed by another five years of Chiropractic education and clinical internship. Then we are required to attend many hours of post-graduate education each year for license renewal. On top of this, our office is frequently involved in various seminars to keep abreast of the latest information.
We are excited to show you how chiropractic can change your family members lives! Let's get started!
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