American Chiropractic

First appointment and medical history form

First appointment and medical history form

First American Chiro - Schedule first appointment

Preparing for your first appointment

 

At a chiropractic examination, the first thing your chiropractor will do is to examine you and have a personal discussion with you. This will conduct a thorough medical history and review medical, X-ray or MRI records you’ve brought with you etc.

 

In order to give us a better overview of your complaints and your initial situation, as well as to simplify the process, you have the opportunity to download our medical history form as well as our data protection and treatment information form. You can bring these with you to your first appointment, already filled out and signed.

 

Please take sufficient time to carefully go through and complete our medical history form. It is an important basis for your first treatment in our practice.

 

If you do not wish to provide certain personal details in writing, you are free to do so. Your information will of course be treated confidentially and is subject to medical confidentiality.

Sending us your documents

 

You have the option to send us your filled out medical history form and the signed data protection and treatment information form in advance.

Online-Editing

 

You can also fill out the medical history form as well as the data protection and treatment information form directly online. For this purpose, you can use the free online tool SMARTPDF. Registration is not necessary.

 

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Clinic Hours

Monday: 08:00 – 13:30 | 14:30 – 17:30

Tuesday: 08:00 – 13:30 | 14:30 – 17:30

Thursday: 08:00 – 13:30 | 14:30 – 17:30

Friday: 08:00 – 13:30

First Appointment

To prepare for your first appointment at First Amercian Chrio, you can download our medical history form and our data protection and treatment information form.

 

Download medical history form & data proteaction/treatment information form

Contact & Location

First American Chiro
Bodie R. Dorrance, B.Sc., D.C.

Am Michaelshof 4a
53177 Bonn-Bad Godesberg

 

phone:
0228-92893026


eMail:
info@firstamericanchiro.de