Patient intake forms furnish essential information — demographics, history of present illness, medical history, etc. — to give the physician a well-rounded picture of the patient's health so they can provide the best diagnosis and treatment.

General consent is limited to a discussion regarding the performance of certain procedures that we are recommending. Obtaining general consent means that the patient has given permission to proceed with treatment and released you from the possibility of being charged with battery.

Consent to Treat a Minor – Chiropractic Care

This form grants permission for Dr. Mark Vettraino, a licensed chiropractor, to evaluate and provide chiropractic care to a minor (under the age of 18). Chiropractic services may include, but are not limited to, spinal adjustments, therapeutic exercises, soft tissue techniques, and other procedures within the scope of chiropractic practice as deemed appropriate for the minor’s condition.

Your answers to this Health Appraisal Questionnaire will assist your Practitioner in gaining information about your current symptoms and health concerns. Please answer all questions in each section. Circle the number that best describes the frequency or severity of your symptoms over the previous month, or answer the yes or no questions by circling the appropriate letter. You may note that some questions are repeated throughout the questionnaire. We would appreciate it if you can answer all questions, as this will ensure the most accurate interpretation of your results. You may, however, leave a question blank if you are unsure of the answer

Maintaining a food journal involves recording everything you eat and drink throughout the day. This practice can offer valuable insights into your dietary habits, allowing you to identify patterns and triggers related to your food choices.

By reflecting on this information, you can make more informed decisions about your nutrition, ultimately leading to healthier eating habits. Additionally, tracking your meals can help you understand your emotional and physical responses to different foods, improving overall well-being and a greater awareness of how your diet affects your health.