Office Policies

Informed Consent

By booking online, I agree to the following:

Day One - What it looks like on your first day?

Welcome to Hometown Chiropractic! On your first day, you will receive a warm welcome from our friendly staff who will guide you through the initial process. You'll complete some essential paperwork, providing us with your medical history and current health concerns. Next, you'll have a one-on-one consultation with the chiropractor to discuss your symptoms, followed by a thorough physical examination. We'll explain our findings and recommend a personalized treatment plan tailored to your needs. Our goal is to ensure you feel informed, comfortable, and confident in the care you receive from day one.

Privacy and Sharing of Information

I authorize the clinic and its associated health professionals to collect my personal and medical information as documented above. In addition, I authorize the clinic and its associated health professionals to communicate with my family doctor and/or referring doctor as deemed necessary for my beneficial treatment. I also understand that my personal and medical information is confidential and will only be disclosed to third parties with my permission.

Cancellation Policy

Your appointment time is reserved just for you. A late cancellation or missed visit leaves a hole in the chiropractors’ day that could have been filled by another patient. As such, we require 24 hours notice for any cancellations or changes to your appointment. Patients who provide less than 24 hours notice, or miss their appointment, will be charged a cancellation fee. Late arrivals can result in a missed appointment, so please call ahead as soon as possible to determine if a re-schedule is needed. 919-552-6559

Regarding Chiropractic adjustments, Modalities, and Therapeutic procedures

I have been advised that chiropractic care, like all forms of healthcare, holds certain risks. While the risks are most often very minimal, in rare cases, complications such as sprain/strain injuries, irritation of a disc condition, and minor fractures may occur. Strokes, which occurs at a rate between one instance per one million to one per two million, have been associated with chiropractic adjustments. Treatment objectives as well as risks associated with chiropractic adjustments, and all other procedures, such as cupping, heat and stem, and therapies provided at Hometown Chiropractic have been explained to my satisfaction and I have conveyed my understanding of both to the doctor.

After careful consideration, I do hereby consent to treatment by any means, method, and or techniques that the doctor deems necessary to treat my condition at any time throughout the entire clinical course of my care.
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By booking with us, you acknowledge our 24 hour cancellation policy. Without 24 hour notice to reschedule or cancel, there will be a charge. If you will be more than 10minutes late to your appointment please call us to let us know, you may need to be rescheduled.
Thank you!

Office Hours

7:00 AM - 12:00 PM
2:00 PM - 6:00 PM
2:00 PM - 6:00 PM
7:00 AM - 12:00 PM
2:00 PM - 6:00 PM
2:00 PM - 6:00 PM
7:00 AM - 12:00 AM
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