Cottage Grove Chiropractor | Cottage Grove chiropractic care | WI | New Patient Center

Patient Forms

Upon entering our office, our receptionist will welcome you as a member of our family. We will request that you complete our new patient forms and submit basic identification information. This paperwork provides us with your health history and information on your condition. We offer our paperwork online so you can complete it at home.

• NEW PATIENT INTAKE FORM

       This gives us information on your health history as well as where you would like your             health to be in the future. This form is used for ages 6 and older.

• PEDIATRIC INTAKE FORM (5 YEARS AND UNDER)

       This is the same as above, but used for children 5 years and under.

• WORK INJURY

        If your injury is due to an accident at work, please fill out the New Patient Intake Form           as well as this Work Injury form so that we may better serve you.

• AUTO ACCIDENT

        If your health issue is due to an auto accident, we will need some addition information, so please fill out the           New Patient Intake Form as well at this Auto Accident form.

Consultation

Next, you will have a consultation with Dr. Hansen or Dr. Ruppert to discuss your health-related problems and concerns.  Since no two patients present the exact same experiences, a thorough case study is obtained by the doctor to cover important events of your past as they relate to your current level of health.

This initial visit is designed for Dr. Hansen or Dr. Ruppert to learn more about you and your condition.   This information is then used to determine what types of evaluation procedures would best direct her in finding the cause of your condition.

Examination

After your consultation, the doctor will perform a complete chiropractic examination.  She will check your posture, your ability to bend and move, test muscle strength and reflexes and perform other chiropractic, orthopedic and neurological testing specific to your condition. The examination is designed to help the Dr. Hansen and Dr. Ruppert locate the cause of your problem, rule out potential problems and determine the need for any diagnostic imaging that may be necessary.

 

X-Ray Studies

Depending on your condition x-rays may be taken as well. X-rays are a “blue-print” of your spine and help the doctor determine the most effective treatment plan. They also help Dr. Hansen and Dr. Ruppert provide specific care tailored to your body. Some of the important findings on x-rays include improper curvatures and degeneration.


On your next visit the doctor will describe in detail the findings from your exam and x-rays in a Report of Findings. Typically you will not be adjusted on the first day because she needs time to thoroughly and accurately review your case history and x-rays to determine the type of adjustment your body needs as well as the frequency of your care. There are certain situations that warrant an adjustment or some sort of pain reduction management on day one and those situations will be handled accordingly.

 Please join us for our 3rd Annual

Ladies Extravaganza

Tuesday, May 15, 2012

5:30 - 8:00pm

at Heartland Family Chiropractic

This is a FREE event open to any and all WOMEN looking for a fun night of pampering and shopping.

~ Come and go as you please ~

Participating Vendors:

Gold Canyon Candles, Miche, Mary Kay, Arbonne, Premier Jewelry, Scentsy, Laga Handbags, Norwex, 31 Bags Jamberry Nails, Wild Tree, Young Living Essential Oils, Surprise Brand Products, Pampered Chef, Cookie Lee Jewelry, Chair Massage, Velata, and more!!!

Wine, Cheese, Sausage, Crackers, and Door Prizes!!!

Please share this invitation with friends, family, co-workers, neighbors, or anyone else who may be interested in joining us!!!