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New Patient Center

Welcome to the Health 4 Life Chiropractic new patient center!

We understand that arriving at a doctor's office for the first time can be nerve-racking. If you've never experienced chiropractic care before, you may not know what to expect when you come to our Alliance chiropractic office for the first time. Filling out paperwork, learning new faces and names, and getting to know your way around the office can be an overwhelming experience.

That's why at Health 4 Life Chiropractic our aim is to remove any unnecessary stress or tension and make you feel comfortable during your visit with our chiropractor.

In this area of the website, you will be able to take care of items necessary for your visit prior to arriving. If you have any questions at any time, please don't hesitate to contact our Alliance chiropractic office at (308) 761-1145!

Online Forms

Health 4 Life Chiropractic offers our patient form(s) online so they can be completed at the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, click here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Front of Intake Form

Download & Print Form

Back of Intake Form

Download & Print Form

Informed Consent

Download & Print Form


Download the Free Adobe Reader®

What to Expect

Laying the Foundation for Total Health

Chiropractic care is like building a house - certain things have to happen in a particular order in order for everything to stand strong and work correctly. When building a house, if you tried to put up your walls before you had a solid foundation, your walls would be weak and eventually collapse. If you tried to put on your roof before the walls were ready, you would run into the same problem. The same is true for your body. Your body has to go through a particular plan of care in order to repair itself correctly and fully. There are three general phases of chiropractic care:

Phase 1: Relief Care

If you are in pain when you come into our office, the first objective is to help you feel better. Depending on the severity of your problem, it is typical to need care two to three times per week for four to 12 weeks.

Phase 2: Corrective/Restorative Care

During the corrective care phase, muscles and other tissues are allowed to heal more completely, thereby helping prevent injury. It is typical to need care four to eight times per month for six to 24 months, depending on your overall health and the severity of your problem.

Phase 3: Wellness Care

Once your body has fully healed, it is important to come in for periodic adjustments to avoid problems in the future. Usually, this only requires a quick visit to the chiropractor one to four times per month, based on your lifestyle and goals.

Payment Options

Health 4 Life Chiropractic believes in the value of wellness care for you and your family and have maintained a pricing structure that allows care for all budgets. Our office participates in most insurance programs. We also accept auto accident and workers compensation cases. For patients who have little or no chiropractic insurance coverage, flexible payment programs can be arranged. To learn more about our payment options for chiropractic and wellness care, you can call our office directly.

Insurance

Most insurance plans are accepted at our office. We accept auto accident, workers compensation, personal injury and most health insurance plans, including Medicare. Since there are so many plans and coverage varies widely, please call us to find out if your plan covers care in our office. Our staff will verify and explain your benefits before treatment, at no charge.

No Insurance

For patients who have little or no chiropractic insurance coverage, flexible payment programs can be arranged. If you have no insurance or do not have chiropractic benefits there is still a way for you to receive the care you need. Many patients pay directly for care, as they discover chiropractic to be extremely cost-effective and affordable.

Family Plans

Our focus at Health 4 Life Chiropractic is to actively help you and your family in taking responsibility for your health, wellness, and disease management. We assist and guide you to take the time to care for the important people in your world: you and your family. In an effort to make living the wellness lifestyle as easy and affordable as possible, we can create a customized family plan that is specific to you and your family.

Health on a Budget

At Health 4 Life Chiropractic, we're convinced that a small amount of your time and money to care for your most important asset--your health--will be far less time consuming and expensive than trying to recover it. If you feel you do not have enough time or money to take care of yourself, please contact us--we can help! The last thing we want is for you to come to our wellness center in crisis. So please, we would like to encourage you to take your health very seriously. As the old saying goes, if you don't have your health, you don't have anything. Unfortunately, too many people don't discover how true that statement is until it is too late.

Contact Us

Address
221 Box Butte Ave., Alliance, NE 69301

Phone

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*Please do not submit any Protected Health Information (PHI).

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