Patient Paperwork

This page has everything you need to prepare for your first visit

New Patient Special

Exclusive Offer for New Patients

If you’re visiting Mitchell Chiropractic for the first time, take advantage of our New Patient Special — an initial consultation, chiropractic evaluation, and first adjustment at a discounted rate.

$49

Redeem This Deal Now!

New Patient Special - $49

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Complete Consultation, Chiropractic Evaluation, and X-Rays (if needed)
* Terms May Apply

What to Expect ?

Your First Appointment, Step-by-Step

You’ll complete a short intake form, followed by a one-on-one consultation and examination with your chiropractor.

1. Initial Examination

Your first visit begins with a conversation about your health history, symptoms, and goals. Our chiropractor will then perform a physical exam and, if needed, recommend imaging such as X-rays or MRI. Based on these findings, we’ll identify the root cause of your issue and outline the most effective path forward.

2. Report of Findings

After the exam, your chiropractor will review the results with you in clear, simple terms. You’ll gain a full understanding of your condition — what’s causing it, how it impacts your body, and what steps can be taken to correct it.

3. Treatment Recommendation

Finally, we’ll create a personalized care plan designed to support your recovery and long-term wellness. Your treatment may include regular adjustments, at-home stretches, lifestyle advice, and guidance on posture or nutrition — everything you need to feel your best again.

Expedite Your Check-In

Make your first visit even smoother by completing a few simple steps before you arrive.
Download and fill out your new patient forms at home, then bring them with you to your appointment.

You can also contact our front desk to verify whether your insurance plan covers chiropractic care.
No insurance? No problem — we accept multiple payment options and offer flexible payment plans.

Check out the resources below to get ready for your first appointment.

New Patient Forms

Download & Complete Your Forms

At Mitchell Chiropractic in Peoria, we want to make your visit to our chiropractic office a convenient and efficient experience without the trouble of having to wait to fill out the required paperwork in the office. Now you can do it from the comfort of your own home.

Please print and complete the required forms below and bring them with you to your first appointment.

List of downloadable forms (PDF):