Patient Forms

Getting Started

Health First Wellness Center is a uniquely structured health clinic committed to wellness health.  We have certified wellness practitioners who are also upper cervical and full spine functional chiropractors.  Because we are completely different than just a “back pain doctor”, anyone interested in becoming a new patient is required to attend our complementary New Patient Orientation class (see class schedule for dates/times).  This class allows you to understand our wellness approach, treatment philosophy, meet our doctors and ask any questions you have regarding our office.    

Once you attend our complementary New Patient Orientation class, If you would like to begin the journey to better health by improving your spinal function and start to learn how to “Eat Well, Move Well and Think Well,” please call our office to schedule an exam with the doctors.  New Patient exams are done only at the 530 Madison Street, St. Charles location. 

When you call to make your new patient appointment:  

  • Schedule Part 1 of the New Patient Exam:   This is a comprehensive examination of your nervous system function and spinal motion.  Nervous System Spinal Function Exam includes posture exam, functional fitness exam, nerve function thermography scan, and x-rays, if necessary.(Please be sure to wear comfortable clothes you can move in.)

  • Schedule Part 2 of the New Patient Exam:   This is an in-depth personal report of your examination findings.  The doctor will go over your examination findings with you (and anyone who helps you make health decisions) and give you his recommendations about the possibility of correcting any issues he may have found. You may choose at this time to receive your first chiropractic adjustment. This is also a great time for the doctor to answer any questions you may have about your current health issues. 

Following your first adjustment, the office staff will go over your specific corrective care plan outlined by the doctor and based on your stated goals and your current overall health.  We will go over how to schedule your appointments in order to make your care as stress-free as possible in order to achieve your health goals.   To review our list of services and policies, click HERE.  

New Patient Forms

Please click on the appropriate link and bring completed forms to your new patient exam. 

New Patient Forms (Ages 18+)

New Patient Forms (Ages: 6 Years to 17 Years)

New Patient Forms (Ages:  3 Years to 5 Years)

New Patient Forms (Ages:  Birth to 2 Years)

Our Locations

Find us on the map

Office Hours

By Appointment Only - (Walk-ins will be charged emergency rate fees.)

Health First Wellness Center


8:00 am-5:30 pm


8:00 am-5:30 pm


8:00 am-5:30 pm


1:00 pm-5:30 pm


8:00 am-12:30 pm