First-time clients receive our patient form to collect data and legal consent. This form requests basic information like name, contact details, date of birth, emergency contact, and insurance details (provider information and policy number) while outlining financial responsibilities. Ensure the patient signs the consent-to-treat form and acknowledges HIPAA privacy for legal compliance.
Initial Information and Consent
First-time clients receive our patient form to collect data and legal consent. This form requests basic information like name, contact details, date of birth, emergency contact, and insurance details (provider information and policy number) while outlining financial responsibilities. Ensure the patient signs the consent-to-treat form and acknowledges HIPAA privacy for legal compliance.
Health History and Primary Complaint
The patient's questionnaire alerts us to the reason for your visit and allows us to inquire about past surgeries, serious illnesses, and current medications to spot any red flags. The patient should describe their main concern, detailing pain location, severity on a 1-10 scale, and when symptoms began. Additionally, ask about work activity, exercise habits, and stress levels to better understand their overall condition.
Health History and Primary Complaint
The patient's questionnaire alerts us to the reason for your visit and allows us to inquire about past surgeries, serious illnesses, and current medications to spot any red flags. The patient should describe their main concern, detailing pain location, severity on a 1-10 scale, and when symptoms began. Additionally, ask about work activity, exercise habits, and stress levels to better understand their overall condition.
Health History and Primary Complaint
The patient's questionnaire alerts us to the reason for your visit and allows us to inquire about past surgeries, serious illnesses, and current medications to spot any red flags. The patient should describe their main concern, detailing pain location, severity on a 1-10 scale, and when symptoms began. Additionally, ask about work activity, exercise habits, and stress levels to better understand their overall condition.
Examination and Treatment Plan
After patient forms are completed. Dr. LaRoss will perform a comprehensive physical exam to assess posture, motion, and neurological function. Deliver a clear, simple diagnosis based on findings. Create a personalized treatment plan with chiropractic adjustments and additional therapies. Ensure the patient agrees to and signs the treatment plan.
Examination and Treatment Plan
After patient forms are completed. Dr. LaRoss will perform a comprehensive physical exam to assess posture, motion, and neurological function. Deliver a clear, simple diagnosis based on findings. Create a personalized treatment plan with chiropractic adjustments and additional therapies. Ensure the patient agrees to and signs the treatment plan.
If you're a new patient, you'll find the forms you need listed below. Please choose the appropriate ones for your initial visit. Once you've printed and filled them out, remember to bring them along to your appointment to help make the intake process quicker. If anything is unclear, feel free to ask our staff when you get here.
If you're a new patient, you'll find the forms you need listed below. Please choose the appropriate ones for your initial visit. Once you've printed and filled them out, remember to bring them along to your appointment to help make the intake process quicker. If anything is unclear, feel free to ask our staff when you get here.
770.222.7555