Chiropractic is hands-on health care that focuses on treatment and preventative care for dysfunctions of the spine, joints, muscles and nervous system. It can help you feel better from head to toe!
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- Chiropractic adjustments (variety of techniques available)
- Soft-tissue therapies such as myofascial release and Graston Technique
- Rehabilitation, strength & conditioning
- Cold laser therapy
- Cranial adjusting
- Custom orthotics
- Animal Chiropractic
New Patient Forms
Save time in the clinic by printing and filling forms out before your visit. If you prefer to complete the paperwork at the clinic, please arrive 15 minutes prior to your appointment.
Chiropractic Initial Visit Form – consent page need not be signed until treatment recommendations are discussed
Chiropractic Paediatric Initial Visit Form – for infants and toddlers
Chiropractic Reassessment Form – for new complaints or greater than 9 months since last visit
Motor Vehicle Accident Insurance Form – if filing an insurance claim for treatment
Please be advised of our cancellation policy:
We require a minimum of 2 hours notice to cancel chiropractic appointments. We allow patients 1 free missed appointment per year. After the first missed appointment has been used, you will be charged the full appointment fee.
Receipts for insurance purposes cannot be given for missed appointments.
What to Expect During Your First Visit
It is important for your chiropractor to understand how your body functions as a whole and this means having a complete picture of your health history and overall current health. You will be asked about the following:
- Personal and family medical history
- Major illnesses you have experienced
- Surgeries or operations you have had
- Medications you are taking
- A description of your current condition
- The steps you have taken to manage your condition
- Your diet and exercise
- Your sleeping habits, daily activities, work routine, stress level, and home life
Your first visit in our office will last approximately 45 minutes. It is advised to wear comfortable clothing and bring any x-ray or radiology reports you have.
During your exam your chiropractor will perform some of these tests:
- Test your reflexes, strength, and sensations
- Analysis of your posture
- Analysis of your movement- walking, turning, bending
- Hands on evaluation of how well your spine moves, identifying restrictions and areas of improper motion
These evaluations allow your chiropractor to make a diagnosis and prescribe a course of treatment.
Thank you for your referrals! When you refer a patient to chiropractic care at our clinic, you will receive a complimentary adjustment.
Chiropractic care is covered by most extended health care plans without a physician’s referral. Feel free to call us if you have questions about extended health care plans or chiropractic fees.
|Adult||Student/Senior||Child||Child of Patient*|
|Initial Visit (consultation & examination)||95||90||85||80|
|Acupuncture & Adjustment||65||60||50||45|
|Current Machine Treatment||15||15||15||10|
|Missed Appointments||Full fee||Full fee||Full fee||Full fee|
|Small Animal Initial Exam*||95|
|Small Animal Chiropractic Visit||39|
*Child of Patient: Children, under 14 years of age, whose parent(s) are patients of Dr. Heick, Dr. Blackburn or Dr. Clarkson fall into this billing category.
**Patients are required to have a reassessment if a WNCM chiropractor has not treated them for more than 6 months, or if a new complaint requires an extensive examination.
Payment is due at the time of the treatment by cash, debit, Visa or MasterCard. A receipt will be provided for submission to extended health care as needed. We do not direct bill.