Dr. Michael J. Diamond!
Now seeing patients at DiSalvatore Chiropractic
The doctors of DiSalvatore Chiropractic are committed to serving those people who desire conservative chiropractic care and treatment for their health care needs. This commitment begins with collecting enough information from the patient about their condition to arrive at a logical diagnosis. Without a logical diagnosis, treatment options are less effective. This waste both time and money.
The following forms will provide us with much of the information that will help us help you. Some forms are long and many questions as first may seem irrelevant: however, each question may lead us closer to pinpointing your exact problem and/or aggravation of your complaint.
***PLEASE PRINT OUT FORMS, FILL OUT AND BRING WITH YOU TO YOUR
* Confidential Patient Information
* Confidential Health History
* Financial Policy
* HIPAA Form
* Informed Consent to Treatment
* HIPAA Privacy Rule– This will explain the HIPPA Privacy Rule
* Consent to Treat a Minor – Please fill out if patient is under 18 years of age.
* Please fill out the forms marked with an * to the best of your knowledge.