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New Patient Paperwork

Total Health Correction Wellness offers our patient form(s) online so they can be completed 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) to (636) 207-6631 or bring them with you to your appointment.

What Should You Expect During Your First Visit?

During the initial visit for any new patient, Dr. Thoma, will conduct a full evaluation which includes:

  • Health history interview including the nature of any current issues and questions regarding your health history.
  • Review of medications, diet, and supplementation.
  • Physical Examination including:
  • Vital signs
  • Ear, nose, and throat exam
  • Neurological exam including cranial nerve, dermatome and myotome testing
  • Orthopedic evaluation
  • Chiropractic evaluation
  • Acupuncture evaluation including tongue and pulse diagnosis
  • Acupuncture meridian graphing
  • X-rays, if musculoskeletal complaint involved
  • Urinalysis

Treatment may be given in the first visit depending on the complexity of the results of the initial evaluation. After the initial evaluation, a follow-up appointment with be scheduled for Dr. Thoma to review your physical evaluation and provide you with a copy of your Report of Findings. The Report of Findings may include recommendations for treatment in Chiropractic, Acupuncture, and Nutrition as part of an overall plan to optimize your healing.

As a New Patient, What Should I Bring To My First Visit?

To optimize the value Dr. Thoma can provide, please bring the following, if applicable:

  • Completed New Patient Packet
  • Previous laboratory results
  • X-ray
  • MRI
  • List of medication and supplementation
  • Insurance card

We look forward to helping you on your journey to Total Health Correction. Please call 636-207-6600 for more information or to schedule an office appointment. You may also use the button below to leave this web page and go directly to Dr. Thoma’s Online Calendar to schedule your initial complimentary phone consultation.


8:00am - 12:30pm
2:00pm - 5:30pm

8:00am - 12:30pm

8:00am - 12:30pm
2:00pm - 5:30pm

8:00am - 12:30pm
2:00pm - 5:30pm



Total Health Correction Wellness
510 Baxter Road Suite 8
Chesterfield, MO 63017
(636) 207-6600

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