Download Patient Forms

We have provided the following two forms here so they can be downloaded and filled out by new patients prior to your first visit. These forms can be completed in our office, but if you would like to complete them ahead of time, simply click on the link to open the file, print the form, complete the form, and bring to our office on your first visit.

New Patient Form Pain Level Chart

View and print Adobe PDF files with this free reader.

On your first visit to our office, our receptionist will greet you with a warm smile. You will then be asked to fill out our required forms which will help us gain some information about yourself and your condition.

Dr. Michael Tobet will then talk with you and ask you some specific questions regarding your condition to determine if chiropractic care may be of benefit to you. If Dr. Tobet can help you, the doctor will let you know. Nothing will be done in our office without your consent and your information will be kept confidential.

After a thorough consultation with the doctor, you will have a complete chiropractic examination. This will include testing your reflexes, your ability to turn and bend as well as other standard orthopedic, neurologic, postural, and physical examinations. The doctor will gain valuable information regarding your condition so that a better understanding of how chiropractic can help you.

X-ray is sometimes required to get a full evaluation of a patient. If you have had recent x-rays, CT scans or MRI’s done, please bring in a copy of those reports/films to assist the doctor in your treatment. Based on the patients HISTORY, SYMPTOMS and the EVALUATION RESULTS, the need for an X-RAY STUDY will be determined. If necessary, an X-RAY study will be recommended and a referral to an X-RAY Facility will be provided.

Most of our patients begin to see results within the first 2 weeks of treatment. Our special gentle yet effective alignment, adjustments of the spine, is gentle enough for kids (they love us) and very effectively restores function and movement for most people, from athletes to seniors. Treatments are specific for each individual patient. We treat pregnant women and have modern specialized chiropractic tables that effectively decompress the spine and relieve disc herniations. Dr. Tobet will often use special techniques to treat shoulder, elbow, wrist, hip, knee, and foot/ankle problems. We also have a massage therapist on staff, which will not only aid in a patient’s recovery but will provide stress reduction as well. PLEASE notify the Doctor if you should have any concerns about treatment.

Our office participates in many insurance programs. We accept auto accident and workman’s compensation cases, and will often accept attorney liens. To find out if your insurance covers chiropractic care, you can call Dr. Tobet’s office directly to schedule your consultation at 203-579-0304. Fill out the required forms that we are providing online and e-mail, fax or bring it with you. This will save you time and the office will have an opportunity to verify your coverage. Most Insurance plans have a co-payment or deductible, which the patient is responsible for. Insurance companies and benefits vary from plan to plan.

For patients who have little or no chiropractic insurance coverage, flexible payment programs can be arranged. Please inquire prior to seeing the Doctor.

Download Patient Forms

Pin It on Pinterest