Motor Vehicle Accident Forms
  • The Case History form and Motor Vehicle Accident form provides us with information about you, the type of discomfort you are in, and details the nature of your accident. Please complete to the best of your ability. Also, please bring in a copy of the police report.
  • Informed Consent and Payment Policy are required and kept confidentially in your records. Informed consent explains the benefits and risks of chiropractic care and gives Dr. Wilhelm permission to treat you prior to beginning care.  We require that a payment policy be signed and kept in your records.
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New patients qualify for a $75 initial consultation, including: a professional chiropractic evaluation with TOG gait scan, ipad posture screen, X-rays and first chiropractic treatment.

Sign-up using the form or call us at (406) 388-9915 to take advantage of this exclusive offer.

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