New patient paperwork

What to expect

On your first visit to our office you will be asked to complete our patient intake forms.

Once your forms are processed, you will have a consultation with Dr. Martin Rosen. He will go over your current health history and gather other pertinent data. After this consultation, you will undergo a complete chiropractic examination including neurological, orthopedic and postural tests. Depending on the findings of your exam, x-rays may also be taken (Wellesley Chiropractic Office’s x-rays are digital). Once the examination is concluded you will be set-up for a follow up visit, a Report of Findings with Dr. Martin Rosen. He will compile all your information and exam tests and go over your chiropractic options and care recommendations. New patients will not get adjusted on the first visit. This visit is for evaluation purposes to determine how chiropractic care can help you and what adjustment protocols are best suited for you. If you are currently under regular chiropractic care and are transferring to our office please let our staff know since protocols in these cases may vary.

Download

Adult Case History (Age 18 or older)
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Pediatric Case History (Age 17 or younger)
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Authorization for Care of Minor
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Auto Accident Case History
PDF

Pet Case History
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Release of Records from Wellesley Chiropractic
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Request Records Be Sent to Wellesley Chiropractic
PDF WORD