Welcome
How To Become a Patient
Appointment Request
First Visit Forms
About
Our Services and Hours
Contact Us
Insurance
Chiropractic
Acupuncture
Massage Therapy
Hot Stone Massage
Emotional Wellness
Nutritional & Wellness Products
About the Practitioners
Firm Profile
Testimonials page 1
Testimonials page 2
Testimonials page 3
Nutritional Testimonial
My Journey to Doctorhood
News
Community Education
Auto Accidents
FAQ about Chiropractic
Injury Videos
Is Chiropractic Safe?
Thoughts about Chiropractic
Sciatica
Headaches
Back Pain
Could Chiropractic Help You?
Neck Pain
Pinched Nerve
Wellness
Safety
Nervous System Physiology
Subluxations
For the Skeptics
Chiropractic Research
Chiropractic Doctors Education
Links to Wellness
Jobs
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Spicer Wellness Center New Patient Forms

Welcome to our practice!

    

The health-care providers at Spicer Wellness Center, are eager to serve your health care needs. We respect your time and would like to make your visit to our office as efficient as possible. So please take a moment to read this letter, and gather the information we have requested you bring to your appointment.

We would appreciate it if you would download and complete the medical information sheet/s on this website and bring this with you to your appointment. If you are transferring your care to Spicer Wellness Center from another facility, please call the former health-care provider and ask to have your records transferred to Spicer Wellness Center.

Please bring your insurance card with you so we can file your insurance claim. Your insurance reimbursement may not cover the full cost of your studies or your physician services. We are contracted with many insurance providers, however, if you're uncertain of your covered services, please contact your insurance carrier. Regardless of insurance, payment remains your personal responsibility.

Plan to arrive 10 minutes prior to your appointment and notify the office as soon as possible if you are unable to keep your appointment. We look forward to serving you!

Yours in Health,

Dr. Tom and the Staff at Spicer Wellness Center.

Adult New Patient form

Download Patient Health Record 9-2008 pdf.pdf

Child's New Patient form

Download Child_1st_visit_form_pdf.pdf

Motor Vehicle Accident form

Download Intake[1] form from Report Master w SWC.pdf

Nutritional Questionaire

Download Standard_Process_Nutrition_questionaire_pdf.pdf

Toxicity Questionaire

Download Toxicity questionaire pdf.pdf

7 Day Food Profile

Download Daily record of food intake.pdf

Massage Therapy form

Download Jennifer's intake form.doc

Acupuncture form

Download 5 phase acupuncture intake form.pdf



 

|Welcome| |How To Become a Patient| |Appointment Request| |First Visit Forms| |About| |Our Services and Hours| |Contact Us| |Insurance| |Chiropractic| |Acupuncture| |Massage Therapy| |Hot Stone Massage| |Emotional Wellness| |Nutritional & Wellness Products| |About the Practitioners| |Firm Profile| |Testimonials page 1| |Testimonials page 2| |Testimonials page 3| |Nutritional Testimonial| |My Journey to Doctorhood| |News| |Community Education| |Auto Accidents| |FAQ about Chiropractic| |Injury Videos| |Is Chiropractic Safe?| |Thoughts about Chiropractic| |Sciatica| |Headaches| |Back Pain| |Could Chiropractic Help You?| |Neck Pain| |Pinched Nerve| |Wellness| |Safety| |Nervous System Physiology| |Subluxations| |For the Skeptics| |Chiropractic Research| |Chiropractic Doctors Education| |Links to Wellness| |Jobs|