New Patient Information


Providing Professional Chiropractic Care & Services for Temperance, Lambertville, Toledo and surrounding Southwest Michigan and Northeast Ohio cities.


Family Chiropractic Care     ~     Evening and Weekend Appointments Available!     ~     Call (734) 847-9200     Toll Free: 1 (888) 847-9201     ~     Emergency Appointments Call  (419) 620-2160     ~     Corner of Jackman & Sterns Road

New Patient Paperwork:

To save yourself some time, please take a few minutes, to print and completely fill out our "New Patient" forms. These confidential new patient questionnaires help us get to know you. Dr. Rick Szczygielski will use this information to help formulate recommendations for your care.

Medical History (Form 1) PDF
Medical History (Form 2) PDF
Patient History (Form 3) PDF
Patient History (Form 4) PDF
Pain Locator (Form 5) PDF

Medical History (Form 1) JPG
Medical History (Form 2) JPG
Patient History (Form 3) JPG
Patient History (Form 4) JPG
Pain Locator (Form 5) JPG

Consultation: You'll meet Dr. Szczygielski and he will review your health history and discuss your concerns as well as advise you whether he feels if he could help you.

Examination: We will perform a detailed physical including Orthopedic, neurological, and physiological tests utilizing state-of-the-art medical devices such as a Surface EMG device, to assist him in his thorough evaluation of your condition and to determine the cause(s) of your problem(s).

X-ray Exam: If necessary, specific X-ray views may be taken to visualize and locate any spinal problems, reveal any pathologies, and make your method of care more precise.

Evaluation: Before proper care can be rendered, we will study your exam findings, X-rays and test results to prepare for his discussion with you at your next appointment to review his findings and discuss an appropriate personalized treatment plan to assist in your recovery.
 


Providing Professional Chiropractic Care & Services for Temperance, Lambertville, Toledo and surrounding Southwest Michigan and Northeast Ohio cities.


 

 

1671 W. Sterns Rd
Temperance, Michigan

Corner of Jackman & Sterns
(734) 847-9200

Toll Free: 1 (888) 847-9201
Emergency: (419) 620-2160

 Office Hours:
M-TH:
9:00am - 1:00pm
M-TH: 3:00pm - 6:00pm
FR: 9:00am - 1:00pm
SAT: By Appointment Only


We Accept Most Major Insurances









 

 


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1671 W. Sterns Rd, Temperance, Michigan 48182     (734) 847-9200
 

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Family Chiropractic Care     ~     Serving, Temperance, Lambertville, Toledo and surrounding Southwest Michigan and Northeast Ohio cities.     ~     Evening and Weekend Appointments Available!     ~     Call (734) 847-9200     ~     Corner of Jackman & Sterns Road