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

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Download Patient Forms

Chiropractic

Self Pay & Insurance, Personal Injury, Workers’ Compensation

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Dr. Giessler

Insurance, Zaferes Personal Injury, Zaferes Workers Compensation

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Answers start here.

No referral needed. Most commercial insurance plans, including Medicare, accepted. Our team verifies your benefits before your first visit. Your first visit starts with a consultation and a thorough exam, with X-rays only if they’re needed. If chiropractic care isn’t right for you, there’s no charge, and we’ll refer you to a trusted specialist.

Ready to feel and move better?

No referral needed. Request an appointment online or call the Nine Point Health clinic nearest you.