Patient Forms
New Patient at Dickson Chiropractic?
We look forward to meeting you! Complete the intake forms below, and then you will be guided to choose an available new patient appointment time that works best for you. Please come prepared with any applicable insurance or accident-related information.
Paperwork
Save Time and Do It Before!
We recommend that you complete our new patient form prior to coming in for your first appointment. If you prefer to complete the paper version, PLEASE ARRIVE 15 MINUTES EARLY to your scheduled appointment time. Scroll down to fill out the online form.
Consultation & Exam
Our doctor will review your intake forms and discuss your current concerns and past health issues.
We’ll also run a few tests to assess your spine and nervous system function, such as your posture, range of motion, and X-rays.
A Customized Recovery Plan
After a thorough exam, our experienced doctor will guide you in your health journey by making a custom treatment plan.
We’re committed to providing you more than just short-term pain relief!
Confidential Patient History
Download Patient Forms
Chiropractic
Self Pay & Insurance, Personal Injury, Workers’ Compensation
Dr. Giessler
Insurance, Zaferes Personal Injury, Zaferes Workers Compensation
Physical Therapy
Insurance, Personal Injury, Workers’ Compensation
