What to Expect

The first visit to our office typically takes between 45 minutes to one hour, including paperwork. During this visit your health history will be reviewed, an exam will be performed, x-rays will be taken if deemed necessary, your questions will be answered, an adjustment will be given if indicated. Home instructions will also be provided. Any visits following your initial visit will take about 10-15 minutes.

When you arrive, you will be given paperwork to fill out that will include your past health history, present health concerns, and any insurance information (if needed). For your convenience, you can find our new patient health history form as well as the automobile accident patient form below. Just print, complete, and bring with you to your appointment.

View of the lobby and front office area of Back in Balance Family Chiropractic.
Nervoscope in use on a patient

In the adjusting room a temperature-sensing instrument (called a nervoscope) will be used to detect any inflammation or heat changes caused by an irritated nerve or misaligned vertebrae. It is painless, as it is simply run down your spine on your skin’s surface. This instrument is not used to perform an adjustment, but is one of the steps in the Gonstead system to help specifically find YOUR problem area(s).

Dr Adam Renelt | Chiropractic X-Ray

Your doctor will then conduct motion and static palpation along your entire spine. This allows us to detect any reduction in your normal range of motion, localized swelling at a level, or tenderness. Your spine, soft tissue around your spine, posture, stance and gait will also be examined to help determine the exact problem area(s) that may be causing symptoms. If needed, an x-ray will be the final analysis of your spinal column and pelvis, showing the quality of your spinal condition and the specific direction of any misalignments present.

Dr. Adam Renelt performing a chiropractic adjustment

If a subluxation is found, Dr. Adam or Dr. Ashley will perform a specific chiropractic adjustment with a gentle thrust, using very specific hand contacts on predetermined points. This will allow for the restoration of nerve function. With the irritation & swelling removed from the nerve, you should gradually feel relief from the pain and symptoms that may have brought you in to our office as your body begins to heal. Healing takes time, but you are most definitely in the right place to begin that process.

Depending on your condition and what we find, we may make recommendations about icing or provide you with specific exercises to help speed up your recovery. By completing your home instructions as recommended, you’ll be one step closer to improved health.

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
  • Make sure to save a copy or picture of your Good Faith Estimate.


For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call us at 605-271-5717