New Patients

What to Expect on Your First Visit

At Peace of Life Chiropractic we want you to feel at home as you begin your journey on the path to wellness.  We have a kid-friendly environment and WELCOME them at all times!!  We love children and we hope they will be getting chiropractic care as well!!  If you have any questions about our office or chiropractic before your appointment, please don’t hesitate to call us!!!  We are here for YOU!  Following are few details that may help us meet your expectations ❤

How long will my first visit take?

Your first visit will last between 60 and 75 minutes.  You are welcome to fill out the paperwork below before your appointment, but we do plan time for you to complete documentation, ask questions about payment elections, go potty, etc.  Once your, or your child’s, consultation begins the visit is scheduled for 45-60 minutes depending on age and condition.  Subsequent visits range from 7 to 30 minutes depending on what service is being performed (check out our services here).

Growth Spurt

We have been so blessed!  Our practice continually grows as more people learn of the benefits of receiving chiropractic care.  As YOU are part of this, we extend our gratitude!  Thank you for hiring us to provide your wholistic health needs!

We are currently fueled by a small team of passionate servants, working whole-heartedly each day to meet the needs of you and your family.  Because of such a rapid growth in our practice, we are experiencing a 1-3 week delay in appointment availability.  Please know that we are trying to invent new ways to be more efficient and better serve you.  If you haven’t already scheduled your appointment, please have this expectation when you call.  The more availability you have, the sooner the appointment will likely be.  If you are limited to certain days of the week or popular times (evening), it will likely be further out before we can coordinate a time that suits your needs.

Please also allow for a little flexibility and kindness in your visit.  Our intention is always to be respectful of your time and adherent to your requests.  Since our practice is unique in the quality invested in YOU, our schedule can run a little behind.  If you are on a tight schedule, please request the 1st appointment of the shift – we always start on time 😉

Will you perform an examination?

Absolutely!  This is one of the most important components in not only the beginning of your care, but also the progress of your care!  One of our goals is to quantifiably improve your health!  The exam is very thorough and will serve as a guide for your care.

What is involved in an adjustment?

An adjustment is a gentle technique used to remove a subluxation.  There are a wide variety of techniques that are used by our doctors of chiropractic to accomplish this goal.  According to the age, size, condition and discomfort level of the patient, the doctor will decide what position you will be in during the adjustment, how much force will be used (this varies greatly with age) and if any instruments are needed to compliment the adjustment.  For example, babies can easily be adjusted with light contact on the exact location of subluxation and a very subtle pressure in the appropriate direction of correction.  Animals are often adjusted with an instrument called an Activator, except in the case of horses of course.  In summary, there is an adjustment that is just right for your needs as well as your comfort level.  You will never be asked to compromise your comfort!

How much does it cost?

We always do a complimentary consultation to determine if chiropractic is right for you. If you decide to proceed, we will do a thorough examination. If we do not see any contraindications to chiropractic care, we will ultimately provide that service as well.  Due to the varying nature of insurance carriers and policies, we ask that you allow us to verify your benefits prior to quoting your coverage.  If you are not filing for insurance coverage, we will do our best to provide you with payment options that you can afford!

We do not have x-ray equipment in-house.  If x-ray is necessary to your comprehensive treatment, we have imaging centers around our office that we can refer you to.  Our office is not connected to the financial component of these imaging centers, and you will be expected to arrange payment for the imaging with the center.

We are in network with a few major medical companies. Depending on your policy, chiropractic care may be covered.  If you have insurance and would like to utilize your benefits, we can call to verify your deductible or co-pay.  We can file your claims for you as well.  Following is a list of insurance carriers that we provide in-network benefits for:

    • Blue Cross Blue Shield
    • Medicare
    • Optum Health
    • Golden Rule
    • Signature Wellness Plan
    • Stratose
    • Health Allies
    • Access One Consumer Health
    • Medical Resources, LLC
    • United Healthcare Medicare Solutions (West)
    • United Healthcare Signature Value
    • United Healthcare
    • United Healthcare Medical Solutions
    • Premera Blue Cross
    • Health Smart

To find out more about what you might expect to pay out-of-pocket, please call us at 972.775.4344. 

Pre-Fill Your Forms Before Your Appointment

We provide 15 minutes of time at the beginning of your appointment to allow you ample opportunity to fill out your forms at your first appointment.  We also use this time to introduce you to our practice and answer any questions you may have about payment, insurance, expectations, etc.  If you prefer to have your forms filled out in advance, you are welcome to download them, and prepare them at your convenience.

All patients will need to fill out documents from 3 of the 4 links below. All patients need to fill out the “HIPPA – Patient Consent” and “Informed Consent.”  Depending on your age you will need to fill out 1 of the “New Patient Intake” forms.

Once you have your forms printed and filled in completely, you can provide them to us in any of the following ways:

  • Bring them with you to your appointment
  • Fax the completed forms to 214.817.5001

Following are the links to the forms along with instructions on which forms you will need to have completed for your appointment:

Privacy Information**Each patient print & sign

Informed Consent **Each patient print & sign

New Patient Intake 5YRS AND YOUNGER **Print and sign this intake form if you have an appointment for your child that is 5 years of age or younger

New Patient Intake 6YRS AND OLDER **Print and sign this intake form if you have an appointment for your child that is between 6 and 18 years of age

New Patient Intake ADULT**Print and sign this intake form if your appointment is for you – and you are 18 years of age or older

Assignment of Benefits **Print and sign this form if you want us to file for your insurance benefits

Cancellation Policy

Unfortunately due to the fast-paced nature of our society, situations arise that necessitate a change in plans. We completely understand that situations like these can affect your scheduled appointment at Peace of Life Chiropractic. In the event you need to reschedule your appointment, please give us 24 hours notice.  This is a courtesy we ask for all scheduled appointments, but for 1st time chiropractic patients and any other appointment that is an hour or longer, we REQUIRE 24 hours notice.

In the event we do NOT receive notice within 24 hours, you do not attend your appointment without notice, or you have cancelled twice, we require a $50 deposit to secure the time we reserve for your next scheduled appointment. This deposit can be paid in person by cash, check or credit/debit card. It can also be paid over the phone by credit card. The $50 deposit must be paid within 24 hours of scheduling your appointment and is applied toward your visit upon completion. If deposit is not in place within 24 hours of scheduling your appointment, we reserve the right to open your reserved time to other patient’s needs.

In the event you are not able to provide 24 hour notice for the cancellation of your appointment for which you have secured with a $50 deposit, unfortunately, we will NOT be able to refund your deposit nor will we be able to apply it to any future services nor supplies.

In an uncommon circumstance where you have two occasions that you need to reschedule your appointment, regardless of notice, we require that you secure any future appointments with a $50 deposit.  That deposit is applied, just as the other scenario, to your visit value.  If you cancel for a third time, we will not refund the deposit. 

Finally, for any appointment that is greater than or equal to an hour, after the 3rd cancellation, regardless of 24 hours notice, we require advanced, and nonrefundable, payment for your appointment.  This applies to all services.  

We hope to avoid any situation where this policy needs to be instated, but in the event of need, it is in place because we first, and foremost, we want to deliver exceptional communication!

THANK YOU FOR JOINING OUR VILLAGE!!  WE LOOK FORWARD TO MAKING YOU FEEL AT HOME!

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