To best serve you, we need specific information about you. Read below to find the packet that best relates to your condition, or call our office so that staff can direct you to the correct paperwork.
It’s best if you can complete the paperwork at home before coming to your visit. If you're not able to do this, please arrive at least 20 minutes prior to your appointment and we'll provide the forms to you in person.
NEW PATIENT, CHIROPRACTIC
Complete this packet if you are coming in for a general chiropractic complaint (such as neck pain, back pain, limb pain, headaches, disc problems, etc.).
NEW PATIENT, NEUROLOGICAL
Complete this packet if you are coming in for any neurological complaint other than dizziness/vertigo or developmental issues. Notes: (1) Use the New Patient - Vestibular packet if you have dizziness/vertigo. (2) Use the New patient - Developmental if you have developmental issues.
NEW PATIENT, VESTIBULAR
Complete this packet if you are coming in for a neurological issue and are having symptoms related to vertigo (such as dizziness, fainting, and spinning sensations).
NEW PATIENT, DEVELOPMENTAL
Complete this packet if you are coming in for a developmental issue (such as ADD, ADHD, Dyslexia, Autism, or learning or speech problems).
Complete this packet if you are a current patient of Seacrest Health and Wellness and are scheduled for a Re-Evaluation visit to assess your progress.
REACTIVATED PATIENT PACKET
Complete this packet if you have already been a patient of Seacrest Health and Wellness in the past and are returning after more than a year.