Patient First Visit

Forms Instructions

1. Please complete ONE of each forms as best as you can. Make sure you sign and date the forms as required.

2. To expedite our initial encounter complete all forms as soon as your appointment is confirmed.

3. Text, call or email me to set up this first appointment if we did not already do so.

I look forward to being of service to you.

Yours in health,
Dr. Angelica Lopez, B.S, D.C.

Your initial appointment will last approximately 45 minutes and includes:

✅ Comprehensive History & Assessment – We’ll discuss your health concerns, lifestyle, and goals.
✅ Hands-On Care – A combination of massage, chiropractic adjustments, and myofascial release tailored to your needs.
✅ Report of Findings & Plan of Care – We’ll outline a treatment approach based on your condition and wellness goals.

Please be ready at your scheduled time to ensure a seamless experience.

Imaging Policy

As a concierge chiropractic service, we do not perform X-rays or imaging. If advanced imaging (X-rays, MRIs, CT scans, or ultrasounds) is necessary, we will refer you to a trusted facility. Once reviewed by a radiologist, we will go over the results with you.

Personalized Care Plans

Each care plan is customized based on your specific needs and may include:

✔ Chiropractic Adjustments (tailored to your body)
✔ Massage & Myofascial Release (including cupping and percussion therapy)
✔ Lifestyle & Movement Recommendations to support long-term wellness

Payment Options

💵 Cash payments only at this time. We do not accept insurance at the moment.

We’re here to support your health and well-being—right where you need us!

 Contact us to schedule your appointment today.