Chiropractic Forms
The chiropractic form includes questions about your stress and pain so that we can properly apply brain-balancing chiropractic principles to your treatment plan. You will also be asked to check off symptoms related to the balance of your nervous system and indicate your pain and type of pain on a diagram of the human body.
A health profile is included in the packet. We need to know your medical health profile so that we can determine appropriate methods of chiropractic.
The final form is about chiropractic and gives the doctors permission to treat you.
Please print these forms, complete them before your appointment, and bring them with you to your first appointment. It saves time and makes your appointment go much smoother.
Nutrition Patient Form
The 4-Day Report
Day 1
The doctor will review your materials and take a thorough medical history. A detailed examination will be performed and x-rays will be taken if indicated. This time will also be used to establish your health goals and answer any questions you may have.
Days 2 and 3
Your condition will be discussed and your treatment will begin. Visits two and three are to help the doctor determine how your body will respond to treatment, so the proper treatment plan can be established.
Day 4
The doctor will present you with the plan of care to help you reach your health goals. X-rays will be explained, finances will be discussed and any questions that you have will be answered.
Patient Testimonials
“Everyone at Reid Family Wellness is wonderful. My time here has been a 10/10 experience. I highly recommend them if you are in pain or just need maintenance adjustments.”
“Dr. Shaughn has helped our 7 month old go from 45 minute naps and waking up 4-5 times a night to 2-3 hour naps and only waking 1 or 2 times at night to eat! Her fussiness from belly aches has gone away as well! She is such a happy, easy going baby we knew she always wanted to be! Shaughn is so gentle with her and she was at ease the whole time with him. We cannot thank Shaughn enough!!”
“I have been seeing Dr shay for almost a year! I love coming to Reid Family Wellness because everyone is always very kind and the atmosphere is inviting! They are always accommodated my crazy schedule to be able to fit me in! Dr. Shay has been great to work with and always listens to my issues and really makes sure I’m getting the results I need to live a happy, healthier, and pain free life.”
Don’t forget to bring your completed forms to your appointment! But first, call 217-698-5800 to make that appointment!
Hours
Monday
8:00 a.m. - 12:00 p.m.
2:00 p.m. - 5:30 p.m.
Tuesday
9:00 a.m. - 12:00 p.m.
Wednesday
8:00 a.m. - 12:00 p.m.
2:00 p.m. - 5:30 p.m.
9:00 p.m. - 12:00 p.m.
Friday
7:00 a.m. - 12:00 p.m.
Saturday
9:00 a.m. - 11:00 a.m.
Sunday
Closed