New Patients
Welcome to the new patient center for ChiroHealth.
If you’ve never experienced chiropractic care before, you may not know what to expect when you come to our office for the first time. This section of the website will help you learn the process of becoming a new patient in our office. In this area of the website, you will be able to take care of the items necessary for your chiropractic visit prior to arriving, in the comfort of your own home. If you have any questions at any time, please don’t hesitate to contact us.
We have a variety of services in our office that allow us to individualize care for pain relief, health and wellness, sports performance, health concerns, and more. We look forward to sharing those options with you.
Online Forms
ChiroHealth Rockford offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office. We ask that you return these forms 24 hours prior to your new patient appointment. This lets us know the history and current state of your health. What questions, concerns, and goals regarding wellness can we help you with? Let us know!
- If you do not already have AdobeReader® installed on your computer, Click Here to download.
- Click the link below, then right click and print it out.
- Fill in the required information.
- You can fax completed form(s) to 616-863-9486, scan then email them to info@chrockford.com, or drop them off in person at the front desk.
New Patient Paperwork – Required for all patients age 14 or over
Adult History form and Office Policy
New Child Patient Paperwork – Required for children 13 and under
Dealing with debilitating pain or struggling with a disc bulge or disc herniations but trying to avoid surgery? 😣
ChiroHealth can help. 🙏🏼
Spinal decompression therapy is a non-surgical treatment designed to gently stretch the spine, reducing pressure on the intervertebral discs and surrounding nerves. By creating negative pressure within the discs, decompression therapy may help promote the movement of oxygen, water, and nutrient-rich fluids into the injured or degenerated discs, supporting the body's natural healing processes. Many patients seek spinal decompression for conditions such as herniated discs, sciatica, degenerative disc disease, and chronic neck or low back pain. When combined with comprehensive rehabilitation programs, spinal decompression can help improve mobility, reduce discomfort, and allow patients to return to their daily activities with greater ease and confidence.
Call our office to learn more or to schedule your consultation! 📲
(616) 863-9482
It has helped me tremendously with a herniated disc!
Kevin and Dr. VanderWal wanted you to know we’ve got patient availability today! 🦴
Jen is also available for an hour massage at 2:30pm 💆🏻♀️
call (616)863-9482 to schedule
Kevin's leaning forward to much, looks like he's in need of an adjustment 😂
This is awesome 👏
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We hope you all had a wonderful and safe holiday weekend! If you’re in need of a little TLC following all of the festivities, Jen has availability for a 60 minute massage today at 2pm. Call to schedule! (616)863-9482 💆🏻♀️