Forms
Thank you for choosing NUCCA chiropractic and our office to assist with your health. I pride myself in being a trustworthy and caring doctor who strives to meet my patient’s needs and appreciate the opportunity to be of service to you.
The National Upper Cervical Chiropractic Association (NUCCA) is dedicated to moving the body toward its most optimum position as it relates to the gravitational field and accomplishes this with an extremely gentle adjustment to the upper cervical spine. Returning the entire spine to its optimal position allows your nervous system to function at its maximum potential.
At your second visit, when you receive your first adjustment, you may need to stay longer than the approximate l hour appointment. I intend to do my utmost in obtaining a maximum correction during that visit and appreciate your flexibility and availability. By giving my patients this extra time, I find that their future visits to the office are often reduced substantially. I also recommend that you take time on the day of and after your correction to relax and rest.
If you are unable to make your appointments, we require at least 48 hours advanced notification to avoid a cancellation fee. Just leave a message for us if it’s after business hours. We appreciate your cooperation and understanding.
We look forward to seeing you soon and the please complete the following paperwork and bring it with you on your first visit.
Yours in Health,
Johanna M. Hoeller, DC
Returning Patient Forms
If you have not been seen by Dr. Hoeller for a year or more, please fill out this form and bring it to your next appointment to help us update your file.
New Patient Forms
Please complete the following forms and bring them to our office when you come for your first appointment. Dr. Hoeller will answer any questions you might have and sign the Informed Consent form with you at that time.
Patient Information
Motor Vehicle Accident under their Personal Injury Claim
If you have recently been in a motor vehicle accident and have an open Personal Injury Protection claim, please complete and bring these additional documents to our office:
Personal Injury Protection PIP Insurance
