terms of acceptance.3rd pg to np
When
a patient seeks chiropractic health care and we accept a patient for such care,
it is essential for both to be working towards the same objectives.
Chiropractic
has only one goal: It is important that
each patient understand both the objective and the method that will be able to
attain it. This will prevent any
confusion or disappointment.
Adjustment: An adjustment is the specific application of
forces to facilitate the body’s correction of vertebral subluxation. Our chiropractic method of correction is by specific
adjustments of the spine.
Health: A state of optimal physical, mental and
social well-being, not merely the absence of disease or infirmity.
Vertebral Subluxation: A misalignment of one or more of the 24
vertebra in the spinal column which alteration of nerve function and
interference to the transmission of mental impulses, resulting in a lessening
of the body’s innate ability to express its maximum health potential.
We
do not offer to diagnose or treat any disease or condition other than vertebral
subluxation. However, if during the
course of a chiropractic spinal evaluation, we encounter non-chiropractic or
unusual findings, we will advise you. If
you desire advice, diagnosis or treatment for those findings, we will recommend
that you seek the services of a health care provider who specializes in that
area.
Regardless
of what the disease is called, we do not offer to treat it. Nor do we offer advice regarding treatment
prescribed by others. OUR ONLY PRACTICE OBJECTIVE is to
eliminate a major interference to the expression of the body’s innate
wisdom. Our only method is specific
adjusting to correct vertebral subluxations.
I,________________________________have
read and fully understand the above statements.
(Print name)
All
questions regarding the doctor’s objectives pertaining to my care in this
office have been answered to my complete satisfaction.
I
therefore begin my chiropractic examination and any other further care on this
basis.
_______________________________________________________________ ____________________
(Signature) (Date)
Sorbera Family
Chiropractic
Dr. Steven
Sorbera