NEW PATIENT FORMS

Thank you for choosing Active Living Chiropractic, P.C to be part of your trusted health care team for you and your family. We look forward to providing you with exceptional care, evidence based  treatment, in a relaxing, caring  environment.  Below you will find our new patient intake forms.

 

You can download the forms by clicking the button below. Please print the forms, fill them out, and bring them to your appointment. 

 

If you are unable to complete the new patient intake forms, please arrive 15 minutes early to your appointment in order to fill out the forms in our office. If you have any questions or concerns please give us a call at either location.

WHAT TO EXPECT

For your first visit, plan on spending an hour to and hour and a half with the Dr. He will go over your health history and perform a thorough and extensive health exam. Based on his findings, he will determine the treatment plan that best suits your individual needs, provide a detailed explanation and answer any questions before proceeding with treatment. We provide a variety of treatments which include, manipulation, electrical stim, ultrasound, deep tissue massage, stretches, exercises, acupuncture and nutritional advice. Subsequent appointments are typically shorter in length and will include various modalities based on your specific treatment plan.

ACCEPTED INSURANCES

In Network

Blue Cross Blue Shield

Providence

Moda/ODS

Out of Network

Aetna

Pacific Source

United