New Patient Center

Rest assured that you will be provided the most appropriate and professional healthcare possible.

At Genesis Chiropractic Clinic it is our mission to help you achieve all of your health goals and needs.  Whether your main reason for seeing us is to get out of pain, increase your energy, lose weight, or simply take your health to that next level we are here to provide you with the tools and knowledge to help you on your journey to optimal health.

Our introduction to you begins with gathering as much information as we can about your condition and your goals. Although paper-work isn’t fun, sometimes little details that we pick up can go a long way towards diagnosis and treatment. We have carefully designed our questionnaires to learn as much as possible so that we can custom tailor treatment plans for you. For this reason, please fill out our history forms completely and to the best of your ability so that we can quickly get you on the road to health.

On your first visit with us, please bring along any relevant medical history, x-rays & MRIs (we prefer the actual disc or film, but a report might help), etc. Anything you think might help. On the day of your visit we ask that you wear clothing that you are comfortable moving in for the physical portion of the examination. The initial assessment will take between 30-45 minutes.

If you’d like us to have this before you come in for your initial evaluation, you can email these to us at or you can fax these in at 215-343-3223. Otherwise just print it out and bring it along with you.

new patient forms genesis chiropractic








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