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Wellness 4 Life Chiropractic
11202 Highland Rd. Hartland, Michigan 48353
Phone: (810) 632-5252
Fax: (810) 632-7575
Email: info@Wellness4LifeChiro.com


Wellness 4 Life Chiropractic - Hartland, Michigan


Please read carefully and follow the directions.

There are two sets of forms to complete.  The first set is called "My Chiro Forms".  When filling out the "My Chiro Forms" please only use a computer with a mouse. Do not use a tablet or phone. To fill out these forms, click on the "My Chiro Forms" link below. At the bottom there is a spot to sign, place your mouse in the box, click and hold down the left mouse button and sign (I recommend doing this FIRST before filling out the rest of the form. Patients have complained that they filled the form out and then had trouble signing it.) Your signature will look like a 3 year old signed. When completed hit send, there is no printing needed. These will be directly submitted to our office.

The second set of forms is a pdf file.  I recommend saving the pdf file to your computer.  Highlighted yellow areas are spots to sign. Do not worry about signing when filling them out. We will have you sign the forms in our office. Once you have completed the pdf forms (save them), please email the file to info@wellness4lifechiro.com.

Completing these forms ahead of your scheduled appointment will save you significant time in the office and allow us to provide you with the best possible care. If you have any difficulties or questions while filling out the forms, please cont the office at 810-632-5252 and we can help walk you through them.

First Visit Experience

My name is Dr. Jeremy Rosner, D.C. and let me be the first to congratulate you on taking the first step toward better health and quality of life! At Wellness 4 Life Chiropractic we realize that this may be your fist visit to our office, and our past experiences have shown us that new patients have many unanswered questions and/or concerns.  We will attempt to do everything possible to make you feel at ease, and to answer any questions that you may have. We are here to serve you.

To ensure your fist visit with us is a pleasant one, here are the procedures you can expect during this visit. Please allow for approximately 1 hour for your first visit.

NEW PATIENT FORMS:  Save time during your first appointment and fill out our new patient forms in your PJs at home. Click on the new patient forms links above to get started.

CONSULTATION: I will personally discuss your current health status and review your health history with you to determine if you are a candidate for chiropractic treatment.  You will have time to discuss any health questions and I will do my best to alleviate any of your concerns.

EXAMINATION: Standard physical, orthopedic, neurological, and chiropractic tests will be performed to determine the cause(s) of your problem. We use cutting edge technology in our office to make your experience an enjoyable one. These technologies include digital X-rays, digital range of motion and thermographic anaylsis and computerized instrument treatment techniques.

X-RAY: Necessary views may be taken to visualize the location of any spinal problems, reveal any pathologies, and make your chiropractic care more precise.  Before proper care can be rendered, I will study your examination findings.  On your next visit you will see your X-ray, review the doctor’s findings, and get my specific care recommendations.

FUTURE VISITS:   Your first visit is complete.  Plan to spend about 30 minutes on your next visit to receive the doctor’s report of findings and a chiropractic adjustment.  Details regarding treatment, expectations, prognosis, health care coverage, financial issues, etc. will be discussed in detail before your case is accepted for treatment.

I look forward to serving you and discussing your goals for a better life!

Yours in Good Health,

Jeremy Rosner, D.C.