Nutrition

nutrition icon: an appleDr. Jen with a wall display of nutritional supplementsWe utilize System Strength Analysis to muscle test the body to check the energized state of the systems, organs, and glands. If the doctor finds a weakness in a certain reflex point/s they can then determine what nutritional regimen will be formulated for each individual patient. There are various ways to strengthen weakened reflex points such as lifestyle changes, nutritional supplementation, and emotional balancing. At CWCH we also muscle test for food intolerances, common deficiencies, and emotional support during our nutritional visits to allow the body to achieve the optimal functioning potential.

Nutrition Forms:

Once complete, please save and email to: FrontDesk@thehudsonchiropractor.com

Nutrition New Patient Paperwork

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Patient Information

Patient Name*
Preferred Name/Nickname*
Date of Birth*
Address*
Emergency Contact Name*

Health History

Are you currently or have you previously had any of the following conditions:*
Check all that apply.
I voluntarily consent to receive medical and health care service to include diagnostic procedures, examination, and treatment. I understand that The Chiropractic Wellness Center of Hudson is required to follow specific privacy regulations. A copy of the Notice of Privacy Practices is available to me at any time by asking a staff member. I authorize The Chiropractic Wellness Center of Hudson to release any medical information needed to determine benefits payable by my insurance policy. This authorization shall remain valid until written notice is given by me revoking said authorization. I understand that I am financially responsible for all charges.
I certify that I have read this form and understand its contents.*
By typing your name, you are signing this authorization form.

We also use vitamins and supplements from:

Standard Process logo
VIOTRON INTERNATIONAL, LTD. logo
THORNE logo

Click on a logo above to visit their website.