top of page

New Patient Special

Schedule your new patient visit and receive a no-cost consultation with one of our doctors to see if chiropractic is right for you.

Getting started is super simple. Just fill out the form on this page, and we’ll promptly contact you with appointment options or you can contact us directly at 605-361-1700. That's it! 

If you have any questions or concerns that need to be addressed before your first appointment, do not hesitate to contact us.

New Patient Paperwork

  1. Select the appropriate new patient forms above.

  2. Fill out the forms as completely as possible and be sure to save your changes.

  3. Email your completed forms to us at ca@backspecialists605.com.

  4. All forms require an in-person signature. You can sign them when you come in for your first visit.

If you can not fill out your paperwork ahead of time, please arrive 15 minutes early for your first appointment. 

This Form Is For New Patients ONLY

Existing patients click here to schedule your next appointment or click the blue "Schedule Now" button in the header.

Phone Preference
  • Can I get treatment on my first day?
    Absolutely. We offer treatment during your new patient appointment. We want to help you feel better as soon as possible.
  • Do you accept my insurance?
    Most insurance plans are accepted at our office including auto accidents, worker's compensation, and personal injury patients. Some of the most common insurance plans we accept are: ​ Avera Blue Cross Blue Shield (BCBS) Sanford Wellmark Medicare The list above is not exhaustive. Since there are so many plans and coverage varies widely, you can call us to find out if your plan covers care in our office. Our staff will verify and explain your benefits.
  • What if I don't have insurance?
    That's no problem. We have affordable payment options for anyone who does not have chiropractic coverage. We’ll be happy to discuss those options with you! We are also participating providers with ChiroHealth USA which is a membership program that provides discounted chiropractic services for those who are uninsured or under-insured. Click here to find out more about ChiroHealth USA.
  • What payment options are available to me?
    Health Insurance is accepted: We are participating providers with most insurance plans. If you are concerned about our participation in your plan call our office to verify. Workers Compensation is accepted: We work with your workers comp insurance as we help you recover from your work inury. *Reminder* Be sure to bring the details of your incident to your appointment for inclusion in your records. Auto Accidents claims are accepted: We work cooperatively with insurance carriers relating to auto accidents daily to restore you to your previous health condition. Self Pay is accepted: If you chose to make payment at the time of your service, we will pass along a savings to you. We also have flexible payment options to help you meet your health goals. Payment plans will be set up at a price you can afford. We accept Mastercard and Visa, as well as cash and checks.
  • What should I expect as a new patient?
    Step 1 | A “No Charge” Comprehensive Consultation: Our receptionist will welcome you and ask you to complete our required forms. Please be sure to detail accurately your health concerns. The doctor will meet with you for a comprehensive consultation to learn more about you and your personal health picture. At that time, he will be able to determine if chiropractic, rehabilitation, massage therapy, nutritional or weight counseling available to you in our office is a right fit. If the decision is made to move forward, care parameters will be discussed. If the care we render at our office is not a right fit, we will provide information for the right course of care as a courtesy and at no expense to you. You can rest assured knowing that nothing will be done without your consent. Step 2 | Comprehensive Physical, Orthopedic and Neurological Examination: After your consultation the doctor will give you a thorough physical, orthopedic and neurological examination. In this examination we will be measuring physical limitation outcomes and your ability or lack thereof to perform certain maneuvers. This important diagnostic information will allow the doctor to have a better understanding of your condition and how to best approach it from a correction perspective. If needed the doctor may take x-rays or chose to refer you out of office for additional consideration. Step 3 | X-ray: If required, our equipment provides imaging that will give the doctor additional diagnostic information to support or deny a need for care. As useful as they are in the modern world of medicine, it is fascinating to think that x-rays were happened upon by pure accident. Discovered in 1895 by Wilhelm Roentgen, x-rays allow health professionals to see through human tissue, which helps in diagnosing certain conditions such as broken bones, joint dislocations, fractures, bone spurs, osteoporosis and degenerative spinal issues to name a few. It is a true picture of ones bone structure and fascinating as well as extremely beneficial in the diagnosis of certain health conditions. Step 4 | Report of Findings: A report of findings appointment will be made so that the doctor of treatment can share the results of your testing; review of pertinent records, examinations, radiologic studies (if applicable) and response to first treatment. We ask that you bring a family member or friend with you to this appointment. This is a perfect time to bring any questions or concerns you may have to visit with your doctor of treatment with. Step 5 | Treatment: Most patients will experience relief after their very first visit. Receiving care at our facility is gentle and painless, comprehensive and effective. With our clinical experience, state of the art equipment and treatment at your fingertips, we can assure you that you have chosen the best possible solution in alternative health care, wellness, nutrition, and weight management. We work daily with patients of all ages, walks and sizes to restore health and vitality to your life. Each day we grow in our experience to bring the very best to the community we proudly serve. Our office participates in most insurance programs. We also work with auto insurance and workers compensation cases. We offer no obligation consultations and can help you directly with insurance forms. For those patients without insurance coverage, a flexible payment arrangement can be approved making Back Specialists your perfect partner in alternative health and wellness.
  • How do I know if chiropractic is right for me?
    That’s what we’re here for! We pride ourselves on never treating a patient if we don’t think chiropractic care is the answer. While we believe it’s a great option most of the time, we’re also happy to give you other options and referrals if we determine that’s a better option. We invite you to schedule your first appointment so we can learn more about your needs.
  • What is the Activator technique?
    The Activator is a small handheld spring-loaded device used to adjust bones/joints in the spine. It is used to deliver a controlled force to move each individual vertebra back into correct position. It is gentle and carries minimal, to no soreness after care.
  • Why should I choose the Activator technique?
    The activator technique is a precise and gentle approach to care. This is because the impulse delivered from the instrument is only to a specific joint. When a joint is out of alignment in the spine, it can impinge on nerve roots and cause pain. The device sends gentle force into the joint and moves it into proper position. The Activator technique corrects the misalignment without excessive force, twisting or cracking. The muscles in the injured area do not have time to guard against the quick force so the joint moves effortlessly. Our patients love the activator method because it is less stress on your body than manual adjustments.
  • Are there any side effects associated with the Activator technique?
    There are no side-effects associated with the Activator technique. Unlike a manual chiropractic adjustment, the only joints that move are the ones that are being adjusted. This makes the activator method more comfortable and effective for patients. Usually after three adjustments with the activator method the patient experiences decreased pain and discomfort.
  • What type of patients do you see?
    In our office we pride ourselves on being able to care for patients of many different ages, backgrounds, and health conditions. Here's some examples of the types of conditions we that we have helped: - Neck and Back Pain - Headaches and Migraines - Pediatrics and Children Conditions - Degenerative Conditions - Spinal Fusions or Post-Surgical - Sports Injuries - Chronic Pain - Acute Injuries - Car Accidents/Whiplash Injuries - Pain Management - Wellness and Maintenance Care

Trusted Chiropractor: What Patients Are Saying

bottom of page