New Patients

Purpose/Terms of Acceptance

As a chiropractic patient, you will be asked to read a form which explains the purpose, conditions and limitations of your treatment. Think of it as a contract between you and Dr. Lynch.

You will then be asked to sign this form to indicate that you have read it and accept the conditions which are specified.  


Click here to see the Purpose/Terms of Acceptance form.

The Chiropractic Orientation

You will be required to attend a Chiropractic Orientation. This talk is designed to give you an understanding of how your condition came about and what chiropractic can do to help you.


During this orientation we will discuss health, sickness, cause and cure. It is important that your spouse be present so that he or she may also have this understanding.  We will discuss benefits of chiropractic care for the entire family. At this time you will have the opportunity to ask questions pertaining to your problem and chiropractic.


You will be scheduled for your adjustment before the orientation.


It may very well be the most important time you've ever spent concerning your health. Remember, this orientation is given for your benefit, so attendance is mandatory if we are to accept your case. Encourage your friends and relatives to attend also.

Privacy and Access to Your Information

Click here to see the form explaining our policies concerning privacy of your information, and how you may have access to it.
 
 
New Patient Offer
 
 


We offer FREE Exam, using state-of-art Electromyography Technology & automated HeadAche Checklist(tm) Evaluation

Normally $290 for these tests.

We take most insurances, cash patients are also welcome.

  • Patient Form: All new Patients to fill out this from please.
  • HeadAche" Checklist Form: This from is required if you have frequent Headaches.

Click above to see and print one of the forms. Please bring them with you to the office.

This site uses the Adobe Acrobat (.pdf) file format for printable documents. If you do not have the reader please click on the "Get Acrobat Reader" icon so you may view and print our documents.



LYNCH FAMILY CHIROPRACTIC CTR
3806 E. State St. Rockford, IL 61108 United States
Phone#: 815-3972948 Fax#: 814-397-7628
Email:- drlynch@lynchchiropractic.com

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