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LINKS FOR NEW PATIENT SUCCESS: 

CHECK MY INSURANCE

ADULT HISTORY FORM

KIDS HISTORY FORM

BABY HISTORY FORM

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FIRST VISIT DETAILS: 

To Schedule: 
Text the word WELLNESS to 908- 440-7733. Or....just call us! 

We can't wait to meet you
We appreciate how intimidating it can be to walk into a new office for the first time. Your first visit is designed to make you feel welcome, informed and truly SEEN. Dr. Jodi is a master of her craft and you are in the best of hands. You will really get to know Dr. Jodi Dinnerman, how she can help you meet your wellness goals, and how LightSource Chiropractic compares to NO OTHER. We realize that you have a choice in health care providers, and we are so grateful that you chose us. Our goal is to show you that gratitude in every step along the way. Whether this appointment is for you, your child or a loved one, we will take the best care of you possible! The goal of our first visit is to discover how and if we can help you at LightSource Chiropractic. If we can, you are in the best of hands. If we can't we will refer you to the right person to get the care that you need. Our promise is to NOT waste your time or money. 
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Please see the top of this page to schedule a time to meet with Dr. Jodi and to complete your paperwork. ​​​

Your First Visit Details

• You will have a 30 minute private meeting with Dr. Jodi where she will extensively go through your history, listen to your concerns and answer any questions you may have. She will also do a detailed postural and spinal exam with you. 
• At the conclusion of your visit Dr. Jodi will give you a personalized care plan; which will include chiropractic care recommendations, ancillary services that may support her care, and any other pertinent suggestions she may have. You will leave our office with a very clear understanding of what is going on with you and how we can help. 

First Visit Investment

• Our first visit is an out of pocket responsibility of $200 and typically not covered by insurance. 
• Once you become a practice member and we learn that you have insurance coverage that we can work with, we will submit your first visit to the insurance company on your behalf. Should your insurance company reimburse for this visit, we will refund you or credit your account for the payment. 

First Visit Recommendations / Requests

• Please fill out all of the necessary paperwork well before your first visit so that Dr. Jodi has time to review it before she meets with you. 
• If care is for your child, we STRONGLY suggest bringing your spouse / significant other to this appointment. There is a lot of information offered about your child and we want BOTH CAREGIVERS on board. 
• Please, do not wear ANY PERFUME to your first visit. 
• If you are a smoker, do not smoke for an hour before your first visit. 
• Please bring copies of any medical records / medication or supplement lists, and / or previous exams you want Dr. Jodi to be aware of. 
• We typically do NOT adjust on your first visit, as there is a lot of information to cover and we do not want to overwhelm you. If you do not want to wait for your first adjustment (we get it) we can see if our schedule will permit us making an exception. Adjustment fee for our first visit is an additional $115. ​

Please see the top of this page to schedule a time to meet with Dr. Jodi and to complete your paperwork. ​​​

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