New Patient Information

Brief New Patient Paperwork

Prior to your scheduled appointment, please click on the New Patient Paperwork button (located below) to complete and submit your health history and pre-registration paperwork at your own convenience. These forms provide us with the information needed to properly address your health concerns. If you should have any questions regarding the paperwork, please contact our office at (920) 434-2221. If you are unable to complete this paperwork before your scheduled appointment, we ask you arrive a few minutes early so that it is completed before your appointment time.

New Patient Paperwork

New Patient Chiropractic Consultation

Upon reviewing your paperwork, the doctor will meet to discuss your health history, symptoms, conditions, and wellness goals.

Insurance Coverage

Howard Chiropractic Clinic contracts with a wide range of insurance companies, however we do not accept the following providers as they are out-of-network.

Medicaid/Forward Health/Badgercare, Molina, Tricare/Champ VA, Preferred One, Security Health Plan, and Together W/CCHP.

Non-Discrimination Policy

Discrimination is Against the Law.

Howard Chiropractic Clinic S.C. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Howard Chiropractic Clinic S.C. does not exclude people or treat the differently because of race, color, national origin, age, disability, or sex.

Howard Chiropractic Clinic S.C. :

Provides free aids and services to people with disabilities to effectively communicate with us, such as:
· Written information provided in large print, audio, accessible electronic formats, and various other formats.

Provides free language services to people whose primary language is not English, such as:
· Information written in other languages.

If you need these services, contact Department of Health Services.

If you believe that Howard Chiropractic Clinic S.C. has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Department of Health Services, Attn: Civil Rights Coordinator, 1 West Wilson Street, Room 651, PO Box 7850, Madison, WI 53707-7850, 608-267-4955, TTY: 711, Fax: 608-267-1434, dhscrc@dhs.wisconsin.gov. You can file a grievance in person or by mail, fax, or email.

If you need help filing a grievance, Department of Health Services is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gove/ocr/portal/lobby.jsf, or by mail or phone at:

U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201

1-800-368-1019, 800-537-7696 (TDD)Complaint forms are available at http://www.hhs.gove/ocr/office/file/index.html.

Physical Examination

A number of specialized tests will be performed to determine your condition and locate areas of dysfunction. These tests include examining areas of concern, reflexes, muscle strength, joints, spine, neck, hip flexors, range of motion, and posture.

Diagnostic Imaging

Certain issues may require us to take x-rays to assist in developing the most effective treatment plan for you and/or rule out a more serious condition. We will advise you of any diagnostic imaging needed to complete your examination.

Recommendations

After our doctors have thoroughly reviewed your case, they will offer you some recommended choices of care along with a treatment program tailored to your condition.

Same Day Treatment

Patients will generally be provided with their first treatment during this same visit. This may include spinal adjustments, laser therapy, and/or soft tissue therapies.

Home Instructions

Patients will be given home care instructions, including ice or heat application, avoidance of certain activities or positions, as well as home exercises and/or stretches.

Schedule Your Next Appointment

At the end of your initial visit, we will schedule your follow-up appointment per your treatment plan.

Request An Appointment

(920) 434-2221

721 Cardinal Lane,
Suite 100
Green Bay, WI 54313