Forms
Please click on the links below to download the forms, fill them out and bring them to your first appointment
What to expect on your first appointment as a new member of our family:
- Fill out Patient Forms
- Consultation with the Dr. to discuss your health-related problems, concerns, and potential treatment options
- Examination
- X-Ray Studies
- Report of Findings
Patient Forms
Upon entering our office, our staff will welcome you as a member of our family. We will request that you complete our patient forms located to the right, or forms will be available in the office to fill out upon your arrival. This paperwork provides us with your health history and information on your condition.
Consultation
Next, you will have a consultation with Dr. Liechty to discuss your health-related problems, concerns, and potential treatment options. This initial visit is designed for Dr. Liechty to learn more about you, your condition, and expectations and to determine how chiropractic care can help you.
Examination
After your consultation, Dr. Liechty will perform a complete chiropractic examination of your spine and spinal nerves. Other standard neurological, orthopedic, postural, and physical tests will be performed as well. However, nothing will be done in our office without your consent prior.
X-Ray Studies
Yes, We take x-rays of the involved area on your first visit to see exactly what is causing your problem and how to get you better!
Report of Findings
Once the information is collected and examinations are performed, Dr. Liechty will give you a detailed report of all findings and answer any questions including:
After reviewing your health history, goals, and examining your spine and X-rays, Dr. Liechty will discuss recommendations and notify you if your condition requires care with other providers. Dr. Liechty will provide the best treatment and wellness program for your needs.
Upon entering our office, our staff will welcome you as a member of our family. We will request that you complete our patient forms located to the right, or forms will be available in the office to fill out upon your arrival. This paperwork provides us with your health history and information on your condition.
Consultation
Next, you will have a consultation with Dr. Liechty to discuss your health-related problems, concerns, and potential treatment options. This initial visit is designed for Dr. Liechty to learn more about you, your condition, and expectations and to determine how chiropractic care can help you.
Examination
After your consultation, Dr. Liechty will perform a complete chiropractic examination of your spine and spinal nerves. Other standard neurological, orthopedic, postural, and physical tests will be performed as well. However, nothing will be done in our office without your consent prior.
X-Ray Studies
Yes, We take x-rays of the involved area on your first visit to see exactly what is causing your problem and how to get you better!
Report of Findings
Once the information is collected and examinations are performed, Dr. Liechty will give you a detailed report of all findings and answer any questions including:
- How can you help me?
- How often do I need to come in?
- What will my treatment cost?
After reviewing your health history, goals, and examining your spine and X-rays, Dr. Liechty will discuss recommendations and notify you if your condition requires care with other providers. Dr. Liechty will provide the best treatment and wellness program for your needs.
Insurance
Most insurance plans are accepted at our office. We accept auto accident, workers compensation, personal injury and most health insurance plans, including Medicare and Medicaid. Since there are so many plans and coverage varies widely, please contact us to find out if your plan covers care in our office. Our staff will be happy to verify and explain your benefits before treatment.
Cross Plains Family Chiropractic believes in the value of wellness care for you and your family and have maintained a pricing structure that allows care for all budgets. For patients who have little or no chiropractic insurance coverage, flexible payment programs can be arranged. To learn more about our payment options for chiropractic and wellness care, please contact us.
Most insurance plans are accepted at our office. We accept auto accident, workers compensation, personal injury and most health insurance plans, including Medicare and Medicaid. Since there are so many plans and coverage varies widely, please contact us to find out if your plan covers care in our office. Our staff will be happy to verify and explain your benefits before treatment.
Cross Plains Family Chiropractic believes in the value of wellness care for you and your family and have maintained a pricing structure that allows care for all budgets. For patients who have little or no chiropractic insurance coverage, flexible payment programs can be arranged. To learn more about our payment options for chiropractic and wellness care, please contact us.