Below you will find information about the combined alternatives you will have in choosing a more natural approach to health care. Please read through the information so you will be more familiar with my background, philosophy, and treatment options.

There are several forms for you to fill out before you come in for your first visit. I encourage you to spend a minimum of a couple hours with this. This is your first
step towards Self Awareness. The more information you include, the more I am
able to get a complete picture of how to best educate, treat and empower your
journey into wellness. Be thorough and enjoy the process.

The following is a checklist of things to bring in and do before your first visit. All
forms can be downloaded by clicking on their respective links. Or, download all
New Patient Forms in one pdf.

• Patient Introduction

• Complete Patient Health History Questionnaire. The more detailed it is the less time we will need to spend during your visit on the same questions

• Supplement and Medication form, with all current medications, vitamins, and herbs you take

• Diet Diary for 3-7 days. Also instructions for how to fill this out. This gives me a look at current nutritional status. Please be honest. No judgements here.

• Privacy Policy

• Patient Pain Rating (if necessary)

• Medical records, x-ray, MRI, blood work, lab tests and any medical records that you have access to from previous physicians.

PLEASE BRING THESE WITH YOU TO YOUR FIRST APPOINTMENT

The following is how to prepare for your first visit:

• Be sure to eat a meal with protein about one hour before you come in.

• Drink lots of water before your visit

• Wear comfortable loose clothing

• Please do not drink alcohol or take any recreational drugs before your visit

Your appointment will be at the following location:
137 Grand St. #2, New York, NY 10013

On Your First Visit

You can expect that we will discuss your personal health history and wellness goals in detail. An exam follows that will give me objective information for understanding your body. Treatment for that day may include chiropractic, naturopathic, massage, or acupuncture techniques. You are currently scheduled for your first visit at:

On Your Second Visit

The treatment plan is discussed and treatments will be done as necessary and desired. All treatment plans are customized to meet the needs of the individual client. The length of treatment may vary according to which modalities are used for you. The time and cost will be discussed with you before you are scheduled.

I am looking forward to working together as Partners in Wellness. Please contact the office at 212-925-8772 if you have any questions we can assist you with.

Sincerely,

Dr. Gabrielle Francis

*If you need to cancel this appointment, we need 48 hours notice or you will be charged the full amount of the appointment.