New Patient Paperwork

Upper Bucks Wellness offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them...
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

First Visit Expectations

On your first visit we will review your History and Health Questionnaire, establish your goals and determine a timeline for your care.

We will perform a Heart Rate VariabilityTest (HRV). Here you are connected to a computer program via blue tooth which will monitor your autonomic nervous system for approximately 8 minutes. A four page report will be generated that will give us your Physical Capacity Score and look at functions of the autonomic nervous system. This test has been used by the Navy to see how physically fit their pilots and Navy Seals are.

Next we will perform Manual Muscle Testing to determine if any systems or organs are struggling. It can also determine if stress or toxicity are contributing to your condition. Muscle Testing allows us to see if you require any nutritional support.

We may or may not perform a Chiropractic Adjustment. It will depend on your needs for that day. Adjustments are performed by hand or with an adjusting instrument. The adjustment facilitates healthy nervous, muscle and skeletal systems.

We will answer all your questions and go over your protocol for success. Your first appointment will take about 1 hour.

Monday9:00am - 1:00pm
2:00pm - 7:00pm
Tuesday3:00pm - 7:00pm
Wednesday9:00am - 1:00pm
Thursday3:00pm - 7:00pm
Friday9:00am - 1:00pm
Saturday10:00am - 1:00pm
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Upper Bucks Wellness
515 South West End Boulevard
Quakertown, PA 18951
(215) 538-6199

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515 South West End Boulevard

Quakertown, PA 18951