New Patient

Patient Forms

Upon entering our office, our receptionist will welcome you as a member of our family. We will request that you complete our patient forms located in the Resources area. This paperwork provides us with your health history and information on your condition.


Next, you will have a consultation with Dr. Binder to discuss your health-related problems, concerns, and potential treatment options. This initial visit is designed for Dr. Binder to learn more about you, your condition, and expectations to determine how chiropractic care can meet your goals.


After your consultation, Dr. Binder will perform a complete chiropractic examination testing your reflexes and range of motion. Other standard neurological, orthopedic, postural, and physical tests will be performed as well.

X-Ray Studies

Depending on your specific condition, we may take digital radio-graphs as well. Films help us develop the most effective treatment plan for you, and alert us of any serious spinal conditions. Most people are amazed once they see the images of their own spine up close. In some cases, they can even identify their misalignments and problem areas themselves.

Report of Findings

Once the information is collected and examinations are performed, Dr. Binder will give you a detailed report of all findings and answer any questions including:

  1. How can you help me?
  2. How often do I need to come in?
  3. What will my treatment cost?

After reviewing your health history, goals, and examining your spine and Digital X-rays, Dr. Binder will discuss recommendations and notify you if your condition requires care with other providers.

Wellness Program

Prior to leaving, the doctor will suggest a wellness program to incorporate outside of treatment. If you are in pain when you first come into our office this may include: ice or heat application instructions, certain activities or positions to avoid, and at home exercises and/or stretches. If you desire, our wellness team will work with you also to create healthy habits and routines for your lifestyle. Every person is unique; therefore everyone requires a customized wellness plan. The purpose of our wellness program is for you to achieve good spinal alignment, have a healthy diet, exercise, and maintain a positive mental state.

New Patient Submission

First & Last Name (required)

Your Email (required)

Your Phone (required)

Date of Birth MM/DD/YY (optional)

Your Reason for Contacting Us (required)

Appointment Date Request

Time of Day Request


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