The New Patient Experience

What you should expect from a visit at YES Chiropractic, a Creating Wellness Center

• Step 1 – You’ll be asked to complete a health care questionnaire that will allow us to uncover previous and current health challenges as well as get an overview of your lifestyle. You can download the forms below.

• Step 2 – You will watch a brief and powerful video that will explain in more detail what the doctor will be looking for in your health evaluation and assessment.

• Step 3 – Our doctor will review your health questionnaire with you and gather any additional information we need to address your current health problems or concerns.

• Step 4 -You’ll receive a state of the art Neuro-Spinal Scan to detect any interferences on your nervous system. It will evaluate imbalances in the muscles and how your autonomic nervous system (organ function) is working (examples below). The scans will allow us to detect interferences that you aren’t even feeling—because only 10% of the nervous system perceives pain.  This technology is certified by the Space Foundation and has been used on NASA 2 shuttle mission to evaluate the impact of space on astronauts’ nervous systems.

  

• Step 5 – You could be sent for spinal x-rays; these are a very important tool to detect subluxation decay (arthritis) in the spine.  The x-rays will provide a blueprint of your spine and will help us decide on the best type of care for you.

  

• Step 6 – The doctor will do a full chiropractic evaluation on you that will include a posture assessment to determine any postural imbalances that can create stress on your body. The doctor will also do a palpation examination of your spine to uncover areas of spinal subluxations (misalignments of the spine that cause interference to your nervous system function and cause a lower state of health).

• Step 7 - You will receive your first Chiropractic adjustment following your Chiropractic examination.

• Step 8 – On your second visit, the doctor will review your findings with you individually.  It will astound you how much you learn about yourself and knowledge is power. You will be educated on the short and long term effects of subluxation and offered choices of care.

• Step 9 – It is very important for us that you understand the findings of your exam.  Within two weeks of your examination, you will receive a truly enlightening group doctor’s report that will explain the meaning of our findings and the impact they have on your health and wellness.

Download New Patient Forms

You can now download your New Patient Intake and Health History forms in advance to save time on your initial visit. Please be sure to fill out each form completely, as all the information will be important for your initial visit with us.

Because you will be spending one-to-one time with the doctor, we have special times available for your new patient appointment. If you do not already have an appointment, please call us at (804) 377-3005 to schedule a convenient time.

The downloadable forms are available in Adobe PDF and may be printed from this page. If you do not already have the free reader, Click here to download the FREE Acrobat Reader.

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New Patient Intake Forms and Health History

All New Patients entering our office need to fill these forms out completely. These forms will tell us about your health history, permit us to perform an examination, as well as inform you about our office policies.

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Children's Intake Form

Complete this questionaire for all children under age 13.