Patient Information Form
The Patient Information Form is for all our new clients. It provides us with all your basic information such as your name, emergency contact, and your desired payment method.
Medical & Health History Form
The Medical & Health History form is for our team to learn as much about you as possible; therefore, we can provide you with the correct care. This form is important in helping us get you towards living a happier and healthier life.
Assignment of Insurance Form
The Assignment of Insurance form is the legal document that will give your insurance company permission to pay the bill by check and mail it to Harchak Chiropractic. The reason why we need this filled out is so we can make the payment process as easy and efficient as possible with your insurance company.
Lifting objects is one of the most common ways to injure yourself. Even if it is a light object, twisting or pulling in the wrong direction when you’re not stretched out can have a damaging effect on muscles and the spine. You always want to bend at the knees and avoid lifting anything you know is too heavy.
Raise your cell phone to eye level so you do not have to tilt your head forward. Taking breaks or changing your position frequently is an excellent way to relieve pressure on your neck.
Resting and Sleeping
Straining your neck or back while you’re sleeping is a very common occurrence. We often fall asleep in strange positions where we are not supported properly or our necks are at an odd angle. Make sure that if you are going to nap or watch tv in bed, that you are in a supportive position.
Working at a Desk
Make sure that you are getting up every 20 minutes to stretch. The type of chair you have is extremely important. It should fit you correctly so that your back touches the chair and your feet are on the floor with knees at a 90 degree angle. Try to avoid looking down at your computer screen. It should be at eye level.
If you know that you are going to be working or playing for a while, make sure that you are adequately stretched out and warmed up. Even if it’s something light like gardening or just pushing your child on a bike, it’s easy to pull something if you’re not warmed up.
Posture. Posture. Posture. Make sure that you keep your chin up and don’t slouch. If you know that you are going to be standing for a long period of time, make sure that you wear comfortable shoes.
"Dr Sue adjusted my neck with the Sigma Ultralign. The Sigma Ultralign is a state of the art computerized adjusting tool which causes no discomfort. Thanks to Dr. Sue i have been able to eliminate my medication. I am also able to work and take care of my family headache free."
"Thanks to Harchak Chiropractic Clinic, I no longer live with chronic neck and back pain."
"Dr. Sue makes me feel like I am the only patient she has to worry about."
"On a recent trip snowboarding, I fell and broke my arm. I fell on my back first and then landed on my arm. I was taken to a local hospital where they x-rayed my arm and casted it. Although my arm started to heal, the middle of my back still hurt. My mother suggested I go to Dr. Sue to see if she could help me. She x-rayed my back and saw several misalignments. After just a few adjustments of my spine, I started to feel so much better. I now have no pain at all."
"My husband and I were involved in an automobile accident the summer of 2004. We were on vacation in Florida and were rearended by a large truck who could not get stopped. Upon our return to town, we immediately contacted Harchak Chiropractic Clinic and with Dr. Sue's care and concern, we got the help we needed. Through chiropractic adjustments and therapy at her office, we have been finally able to get through our days with no pain."
"I have suffered with chronic low back and leg pain for many years. Over the past year I developed excruciating left leg pain and numbness. I went to the pain clinic and they gave me pills and shots, which gave me temporary relief. Then I decided to try Dr. Harchak's decompression table. She used the cold laser and the decompression table on me and for the first time in the past twelve months I have no leg pain or numbness."
"I suffered with low back pain for years. My sister is a patient of Dr. Sue Harchak and she recommended that I try chiropractic. I had never been to a chiropractor before but felt like I had because Dr. Sue made me feel so at ease and relaxed. My low back pain is gone and I feel years younger because I have no pain now. I am able to do things around my house that I had not been able to do in years."
Did you know that chiropractic dates back to the time of Hippocrates? He believed that if the spine was misaligned, it greatly contributed to the health of an individual.
The modern day school of chiropractic dates back to 1895, when Dr. Daniel Palmer adjusted a man that had lost his hearing 17 years prior. The story goes that prior to losing his hearing the man had heard something pop in his back. Upon the adjustment of the man’s misaligned vertebrae his hearing greatly improved.
While the medical community criticized this new technique for healing the body, the people who followed in these footsteps found an amazing new way of dealing with illness and disease. Dr. Palmer’s theories are still discussed in the chiropractic industry today. Without this man’s input into medicine in a time where he was greatly discredited, the millions of people today who enjoy the life changing benefits may never have had this opportunity. There is still a school named after Dr. Daniel Palmer as well as over 20 schools and thousands of chiropractic students across the country.
How it Works
Chiropractic is based on the idea of removing imbalances both structural and postural in an effort to allow our body to heal itself. For this to happen the network of nerves and signals from your brain, down your spinal cord, to the network of nerves must be allowed to flow freely without any interruption. Chiropractors have the ability and skill to remove these interruptions or misalignments and allow the body to perform as it was meant to.
If you’ve ever been in a car accident, played a sport, fell down or just bumped into something too hard, it’s very possible that you are not functioning at your best due to a misalignment. While there are many potential mechanical or structural causes for misalignment, there are also chemical reasons. For instance, if you smoke or drink excessively or even just have a poor diet, the chemical issues in your body can eventually cause underlying conditions and disease to appear.
Allowing a chiropractor to get you back on track both chemically and structurally will bring your body back to the proper state it should be in to perform at it’s peak.
Chiropractic is a healing art that focuses on the ability of the body to heal itself. Because of this, chiropractic can benefit everyone, not just those suffering from low back pain and headaches. Many people find relief from conditions such as colds, ear infections, PMS, spinal or disc problems, arthritis, insomnia, stress, vision problems, headaches, allergies, bed-wetting, colic, high blood pressure and improper organ function. The list is long!
The goal of chiropractic is not to treat disease. Chiropractic is a system of removing misalignments in the bones of the spine called subluxations. These subluxations can not only cause back pain and headaches but also interfere with the ability of the body to function in many other ways, sometimes manifesting as disease. Because subluxations can interfere with the proper function of the body and cause disease, chiropractic care to correct subluxations often has a positive effect in reducing or even eliminating many seemingly unrelated health problems.
Degeneration Phase 1
The first stage of spinal degeneration is when there is a minor loss of normal spine balance and spinal curvature. The surrounding features of the spine such as nerves, discs and joints begin to age quicker and are continually more stressed. This stage of the degeneration process rarely is accompanied with any major pain. At this point, there is a good chance that with the proper care, you can return to normal.
Degeneration Phase 2
In the second stage of spinal degeneration, there is often a narrowing of the discs and potentially deformation in the bones. Your posture is often beginning to degenerate as well at this point. As the spinal canal, or opening begins to narrow, there are often significant aches and pains associated. Fatigue and stress are more common at this stage. There is a good chance of improvement at this stage with the proper care.
Degeneration Phase 3
In the third stage of spinal degeneration, there is significant physical and mental involvement due to the level of issues here. There is most likely nerve damage as well as deformation of the bones and discs. There would be a significant loss of energy and height at this point. Some reversal is possible.
Degeneration Phase 4
In the fourth stage of spinal degeneration, most damage is permanent including scar tissue, nerve damage and deformation. At this point, the condition is irreversible. Management of pain and discomfort is the best option here.
Have a question?
When a vertebrae becomes misaligned or moves out of its normal position, this is referred to in the chiropractic profession as a subluxation. Subluxations can be caused by a wide range of issues ranging from a minor slip or bump to a car accident or any sudden trauma. When a vertebrae is subluxated, it begins to put pressure on nerves, blood vessels and everything around it. This pressure comes with a price. The subluxation interrupts the natural pathways that the messages sent from the brain need to be clear in order to be completed properly.
As time goes by and a subluxation remains untreated, the spine and surrounding features such as discs can begin to degenerate. This degeneration becomes more difficult to reverse as time goes by as the surrounding muscles, nerves and bones begin to adjust to the new shape. The body is an amazing machine. It will start to accommodate these changes by compensating in other areas. The longer this goes on, the more difficult it is and the longer it takes to get back to near perfect position.
How Subluxation Cause Disease
The human spine is a stack of 24 movable bones called vertebrae that are joined by soft tissue called discs. The spine has two main functions:
The first function of the spine is to mechanically support body weight. This mechanical or orthopedic function is very important to our ability to live normally. Without a flexible spine we could not bend, twist, or even balance to stand upright.
The second major function of the spine is to protect the delicate spinal cord. The spinal cord is an extension of the brain that travels down though the center of the spine, carrying millions of messages to and from the brain every minute of every day. Peripheral nerves connect the spinal cord to the organs and muscles of the body and exit the spine through openings between the vertebrae called foramen. Without a proper nerve supply regulating and coordinating body systems, optimal health cannot be achieved. This is the neurological function of the spine.
When one of the bones of the spine becomes misaligned or subluxated, it affects both the mechanical and neurological functions of the spine. Mechanically it changes the ability of the spine to support weight and uncorrected subluxations can lead to arthritis and disc problems. Neurologically, subluxations can alter the size of the foramen between the vertebrae and compress the tissue surrounding the delicate nerves that travel through them. This pressure can interfere with the ability of the brain to regulate organ systems and cause disease. Because pain is one of the last signs of nerve compression, it is often not present even when there are significant subluxations.
Chiropractic is for everyone
Because chiropractic helps the body to function better, many people experience positive changes in their health even if they are not noticeably sick or in pain. For many, the change is an increase in energy levels, a reduction in stress, or just an overall sense of well-being. Most people think of health as a black and white thing; someone is either sick or they are not. Nothing could be further from the truth. Nearly everyone has subluxations to one degree or another and these subluxations are effecting how their body functions, whether they are aware of it or not.
Chiropractic can also help those who are suffering from back pain or recovering from traumatic injuries by improving the mechanical and neurological function of the spine. In addition to chiropractic care we also offer supportive Massage Therapy and Physical Therapy for patients dealing with pain or recovering from traumatic injuries.