Forms

Please download and print these forms if you’d like to complete them ahead of time to save yourself some time the day of the appointment.  Alternatively please arrive 10-15 minutes before your appointment so that you may fill them out at the office.

New Patient Intake Form

Riverstone Chiropractic Policies:

Office Hours:

The doctor is available to see patients Monday 8am-1pm, Tuesday 2-7pm, Wednesday 8-10:30am and 2:30-7pm, and Friday 2:30-7pm by appointment only.

Rescheduling an Appointment:

In order to provide the best care to all patients, please provide 24 hours notice if you are unable to make your appointment.  We do not double-book, your appointment slot is held for you, and you only. We do our very best to start all appointments on time, and a missed appointment means someone else was not able to receive care during that timeslot. Special circumstances aside, an $85 missed appointment/late cancellation fee will be charged if we do not receive 24 hours notice. If we are able to fill your appointment slot on short notice, we do not “double-dip” so your fee will be waived.

Payment:

Full payment is due at the time of service. Payment forms accepted are cash, check, credit card, and HAS/FSA credit or debit cards. If you wish to attempt reimbursement from your insurance company, please request a Superbill from us and we would be happy to provide this document.

Scent-Free Environment:

To maintain a comfortable environment for those with chemical sensitivities, please refrain from wearing scented products including colognes, perfumes, body sprays, and scented lotions.

Dress suggestions:

Please wear or bring shorts that can roll up to the top of the thigh for lower body injuries, and a tank top/yoga top that exposes the shoulders for upper body injuries. This is not mandatory if you have modesty concerns; please let us know and we will work with you to provide a comfortable treatment experience. The reasons for the dress suggestions are that 1) it is helpful for the doctor be able to see and inspect the area of complaint and 2) manual therapy treatments are more effective if applied directly to the skin rather than through a layer of clothing.