​
  • GET STARTED
    • YOU ARE LOVED
    • First Visit
    • MONEY STUFF >
      • CHIROHEALTH USA
      • CHECK MY INSURANCE
    • Videos of our care
    • ABOUT OUR PRACTICE
    • OUR STATEMENT OF PURPOSE
    • MEET YOUR CHIROPRACTOR
    • BRAG PAGE
  • Current Patients
    • CURRENT PATIENT SCHEDULING
    • RE EVALUATION
  • CONTACT & LOCATIONS
    • FACEBOOK
    • FIND US!
    • Review us online!
    • JOIN OUR TEAM
    • BLOG
  • RESOURCES
    • Dr. Jodi Dinnerman.com
    • FAQ
    • AMAZING FAMILY MAGAZINE
    • BIRTHFIT
    • LIFE WELLNESS PRODUCTS
    • ARTICLES FOR EDUCATION >
      • IMMUNE SUPPORT
      • GLUTEN / DAIRY FREE
      • MERRIC CHART
      • LYME TESTING
      • THE GEOMETRY OF THE SYSTEM
      • WHAT IS BGI
      • CHIRO FOR SAFER PREGNANCY
      • THE ONLY CONSTANT
      • THE CHIROPRACTIC OATH
      • MULTIPLE DIMENSIONS OF THE SPINE
      • COMMITMENT
      • ADHD CASE STUDY
      • EAR INFX
      • Can't Nurse?
      • HEALTHY KIDS
      • THE VACCINE BUBBLE
      • C SECTION FACTS
  • SCHEDULE HERE
Picture
CALL / TEXT NOW

BABY HISTORY FORM


1.PLEASE START HERE BY SIGNING OUR HIPPA FORM! 

    2. PLEASE BE AS DETAILED AS POSSIBLE SO THAT WE CAN BEST SERVE YOU. 





    We will check your insurance for you. Please disregard if you have an HMO or no insurance. 


    Let us know how we can help: 


    Chemical Stresses: 
    Everyday chemicals can create tension in the body; causing great health issues. 

    Physical Stresses 
    The average child falls 2500 times in their first five years of life. There is up to 90 pounds of pressure put on the spinal cord at birth. These stresses add up and create all kinds of health issues! 

Submit

​LIGHTSOURCE CHIROPRACTIC OF CLINTON     
6 East Main Street, Suite 6
​Clinton NJ 08809    

​TEXT (or call) US NOW AT 908-224-4840

LIGHTSOURCE CHIROPRACTIC OF PRINCETON
360 Nassau Street, next to Whole Earth Center
Princeton, NJ 08540  

MAILING LIST
  • GET STARTED
    • YOU ARE LOVED
    • First Visit
    • MONEY STUFF >
      • CHIROHEALTH USA
      • CHECK MY INSURANCE
    • Videos of our care
    • ABOUT OUR PRACTICE
    • OUR STATEMENT OF PURPOSE
    • MEET YOUR CHIROPRACTOR
    • BRAG PAGE
  • Current Patients
    • CURRENT PATIENT SCHEDULING
    • RE EVALUATION
  • CONTACT & LOCATIONS
    • FACEBOOK
    • FIND US!
    • Review us online!
    • JOIN OUR TEAM
    • BLOG
  • RESOURCES
    • Dr. Jodi Dinnerman.com
    • FAQ
    • AMAZING FAMILY MAGAZINE
    • BIRTHFIT
    • LIFE WELLNESS PRODUCTS
    • ARTICLES FOR EDUCATION >
      • IMMUNE SUPPORT
      • GLUTEN / DAIRY FREE
      • MERRIC CHART
      • LYME TESTING
      • THE GEOMETRY OF THE SYSTEM
      • WHAT IS BGI
      • CHIRO FOR SAFER PREGNANCY
      • THE ONLY CONSTANT
      • THE CHIROPRACTIC OATH
      • MULTIPLE DIMENSIONS OF THE SPINE
      • COMMITMENT
      • ADHD CASE STUDY
      • EAR INFX
      • Can't Nurse?
      • HEALTHY KIDS
      • THE VACCINE BUBBLE
      • C SECTION FACTS
  • SCHEDULE HERE