Plainfield Chiropractic Office

Financial Policy - Even if you have insurance you are ultimatly responsible for your account.

Pregnancy Questionnaire-Dr. Dykgraaf needs to make sure your not pregnant before any x-rays can be done.

Informed Consent - This form gives Dr. Dykgraaf permission to treat you.

Low Back Pain Disability - This form does not mean you have a disability, we simply have you fill out it so we can monitor your progress.

Neck disability Index - This form does not mean you have a disability, we simply have you fill it out so we can monitor your progress.

Case History~~The human body is designed to be healthy.  Throughout life, events occur which damage your health expression.  This case history will uncover the layers of damage, especially to your nerve system, that have resulted in poor health.