Intake Forms
SCHEDULE YOUR APPOINTMENT
0
+
PAIN-FREE PATIENTS
0
+
YEARS OF EXPERIENCE
0
+
SPECIALIZED TREATMENTS
Suggestions for Your First Visit:
- Please wear comfortable clothing if possible.
- Bring in current xrays (films or on a CD) if you have them.
- Bring a list of current medications if applicable.
New Patient History Sheet
Complete the sheet and bring it to your first appointment.
New Auto Accident Patients
Complete the sheet and bring it to your first appointment.
ChiroThin Intake Form
Complete the sheet and bring it to your first appointment.
Red Light Informed Consent Form
Complete the sheet and bring it to your first appointment.
Introducing Dr. Michael J. Pesta, DC
I found that adjusting people back to health in a safe and natural manner far exceeded having people turn to chemicals to try to become the healthy individual that they would like to be. Our weight loss portion of the office is amazing at helping people achieve their health goals. One of the largest problems that enters our office is weight gain and we have a great solution! I love that I can help people with these life long problems.
