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New Patients

New Patient Forms

Got Your Back Lifestyle Chiropractic offers our patient forms online so you can complete them in the convenience of your own home or office.

  • Download the New Patient forms below.

  • Print, complete and sign all forms. Bring them with you to your appointment.

  • If you do not have AdobeReader® installed on your computer, Click here to download. 


New Patient Health History and Privacy Forms - Required

This lets us know your health history, as well as the current state of your health. It is also an opportunity to let Dr. Cherie know what health and wellness questions, concerns or goals you would like support with. Please complete all forms and bring them with you to your appointment.

Health History

Informed Consent

Financial Policy


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What to Expect

Chiropractic care is like building a house - certain things have to happen in a particular order in order for everything to stand strong and work correctly. When building a house, if you tried to put up your walls before you had a solid foundation, your walls would be weak and eventually collapse. If you tried to put on your roof before the walls were ready, you would run into the same problem. The same is true for your body. Your body has to go through a particular plan of care in order to repair itself correctly and fully. There are three general phases of chiropractic care . . .

Phase 1: Relief Care

If you are in pain when you come into our office, the first objective is to help you feel better. Depending on the severity of your problem, it is typical to need care 2-3 times per week for 4-12 weeks.

Phase 2: Corrective/Restorative Care

During the corrective care phase, muscles and other tissues are allowed to heal more completely, thereby helping prevent injury. It is typical to need care 4-8 times per month for 6-24 months, depending on your overall health and the severity of your problem.

Phase 3: Wellness Care

Once your body has fully healed, it is important to come in for periodic adjustments to avoid problems in the future. Usually, this only requires a quick visit to the chiropractor 1-4 times per month, based on your lifestyle and goals.

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