Dr. Jeff Hedrich

Patient Forms

Please fill out the following forms prior to coming to the office in order that we may serve you more efficiently.

New Patient Forms

You can discuss this with the Doctor during your consultation.

How to Stretch

Safe and effective exercises that you can perform to speed your recovery and stabilize your spine. These exercises are safe to do even with a lumbar disc injury. Follow the pictures exactly and remember stretching is about relaxing into the posture. Relax and enjoy.

Claim Form

For new and existing patients that have had a recent motor vehicle accident, please fill out this form and submit it to your insurer within 10 days of having the accident. Notify them that you have been in an accident and wish to have your spine checked. Filling in this form and submitting it to your insurer will entitle you to all the benefits your insurance policy has to offer. If you are not responsible for the injury then you receive the benefits courtesy of the responsible party.

Nutritional Consultation Form

If you desire a nutritional consultation, please complete this form prior to your visit.