New Patients

Intake Forms

We understand your time is valuable. Please feel free to download our easy paperwork, complete it at your convenience and bring them to your first visit. This way, when you arrive at our office, we can bring you right back to see the doctor. Click on the link below to view PDF versions of these forms.

 Intake forms (pdf)

What to expect on your first visit:

Check in: Our friendly reception staff will check you in and provide you with any necessary paperwork. Our staff is available to answer questions you may have and verify insurance coverage. Meet the Doctor: Dr. Goldi Jacques-Maynes will speak with you and ask you questions about your complaint. She will perform an exam, x-rays and any other diagnostic tests to ensure that you do, in fact, have a chiropractic problem. Consult: Dr. Goldi will discuss treatment options with you and lay out a treatment plan specific to your condition. Your health is always your choice. =Treatment: Your treatment may begin today!

Please allow 30-45 minutes for the first appointment. If your site of pain will be obstructed during the exam by clothing (e.g., wearing tight jeans with a knee injury), please come to your appointment dressed appropriately in gym shorts, tank top, etc. Finally, we want your treatments to be as relaxing as possible. Please turn off your cell phone so that you are not distracted.