What to Expect

Being prepared for your appointment will ensure that The Chiropractic Health Center of Glastonbury has all the necessary information to provide the best possible care for you. You may fill out the appropriate forms when you arrive for your first visit, or if you prefer, you may print and fill out any the forms listed above and bring them with you. Additionally, you may wish to prepare a list of questions beforehand so we can address any concerns you have about your health and your chiropractic care.

Patient Forms

Adult Health History
Children’s Health History

Questions about our forms? 

Just Call – (860) 657-8800

"The administrative staff and practitioners are all friendly, capable, efficient, and very responsive. In addition, Dr. Keith Wade is knowledgeable, passionate about his craft, patient and thorough in answering questions. As a direct result of all that, my low back, ankles an knees feel much better, I am in less pain, and I am less afraid that my back will keep hurting or "going out." I am very grateful."
Malinda Branson
"I absolutely love the care I receive here. I have been coming for the last 3 going on 4 years and my migraines and back pain are gone."
Renee Danielle
"I started going to Dr. D when my orthopedic doctor recommended him for whiplash. I had always been skeptical of chiro services, but Dr. D and his associates are wonderful. They've kept me pain free for years now, as I have monthly adjustments to ensure good health now and in the future. I highly recommend Dr. D."
Maureen Willcox
"I absolutely love the care I receive here. I have been coming for the last 3 going on 4 years and my migraines and back pain are gone."
Renee Danielle
"I started adjustments for neck, back, and tailbone pain and at the end of the 10 weeks the pain was completely gone. Dr. Wade is kind, funny, and very good at what he does. He brings positive energy into the office every single day and is in a good mood 100% of the time."
Cassandra Kolstad
When I first came, I was out of alignment and had joint soreness but through my continual sessions, my overall health has improved 100%. I want to thank all the staff for their support and education."
Benjamin Israel
"The administrative staff and practitioners are all friendly, capable, efficient, and very responsive. In addition, Dr. Keith Wade is knowledgeable, passionate about his craft, patient and thorough in answering questions. As a direct result of all that, my low back, ankles an knees feel much better, I am in less pain, and I am less afraid that my back will keep hurting or "going out." I am very grateful."
Malinda Branson
"Dr. Wade has been wonderful! I never thought spinal care was a preventative health measure until I started here. The entire staff are very accommodating and friendly! My back has never felt better! I plan to continue to come for maintenance."
Amanda Smith
"Dr. D has been providing an integrative approach to the health and well being of my family for over 25 years. He is not only a highly skilled practitioner, but is a compassionate and caring person, not only to his patients but to the community.
Susan Keane
"I just finished my 30 session program and went over my x-rays with Dr. Wade. The improvement in my scoliosis shown in the x-rays was remarkable and corresponded with the greater mobility and wellbeing I have been experiencing. Dr. Wade is very professional and always willing to answer questions and address specific concerns. I highly recommend him."
Austin Lyons
"The administrative staff and practitioners are all friendly, capable, efficient, and very responsive. In addition, Dr. Keith Wade is knowledgeable, passionate about his craft, patient and thorough in answering questions. As a direct result of all that, my low back, ankles an knees feel much better, I am in less pain, and I am less afraid that my back will keep hurting or "going out." I am very grateful."
Malinda Branson
"Dr DeFrancesco is the best. I can’t say enough good things about him. He is a genuine and caring person. It is his help that has allowed me to continue to go to work every day and provide for my family. The staff is always super accommodating and pleasant to deal with. I have never received an attitude. When Dr DeFrancesco is not available, I am fortunate that he leaves me in the talented hands of Dr Wade and Dr LeFavor."
Robert Zdrojeski
"Our family has been clients since 1994 and since 2005, we have been one of his long distance clients moving to New Hampshire! We have continued with monthly adjustments as he is truly The Best of The Best!"
Skip Gilman
"I'm a very active individual and lower back pain was getting in the way of activities I love. While my back is still a work in progress, the time spent with Dr. D has been well worth it. I just ran 2 marathons in 2 weeks and these sessions helped me run these races with no back pain."
Matt from mission FITNESS
"My whole family goes to Chiropractic Health Center of Glastonbury. My other half has been getting adjustments for years and he has been the driving force for the family to get checked out. He says since he has been coming here, if his back has any issues or is out, it seems to get better much faster than ever before. If you've had any problems with your back, you'll know that speaks volumes. We trust this group!"
Maggie P.
"I love Dr. D and his great staff. I have been going to him for about 16 years and I would gladly recommend him to anyone looking for a chiropractor. He has helped me immeasurably."
Lelaneia Dubay
"I absolutely love the care I receive here. I have been coming for the last 3 going on 4 years and my migraines and back pain are gone."
Renee Danielle
"I absolutely love the care I receive here. I have been coming for the last 3 going on 4 years and my migraines and back pain are gone."
Renee Danielle
When I first came, I was out of alignment and had joint soreness but through my continual sessions, my overall health has improved 100%. I want to thank all the staff for their support and education."
Benjamin Israel
"Dr Francesco and the staff are outstanding. I am so glad I found out about this chiropractic practice and am forever grateful for how much better I am feeling since getting treatments there."
Jody Lefkowitz
"Been going to The Chiropractic Health Center of Glastonbury for over 5 years and it is always been a great, safe and welcoming experience! Cannot recommend it enough."
Olivia Mott
"Great experience! Our whole family goes and we have referred other family members. Dr. Wade is awesome, he listens and wants what is best for his clients."
Kayla Bueno
"Dr Francesco and the staff are outstanding. I am so glad I found out about this chiropractic practice and am forever grateful for how much better I am feeling since getting treatments there."
Jody Lefkowitz
"I started adjustments for neck, back, and tailbone pain and at the end of the 10 weeks the pain was completely gone. Dr. Wade is kind, funny, and very good at what he does. He brings positive energy into the office every single day and is in a good mood 100% of the time."
Cassandra Kolstad
"I have been a patient for over a year and have seen terrific results from my plan of care. I was introduced to the office by a friend after I told him I was having back pain. The staff and doctors have been outstanding. They took some x-rays and ruled out certain things and put me on a plan of care that helped get me straight and pain free. I can't thank them enough."
Matt Udal
"Dr Francesco and the staff are outstanding. I am so glad I found out about this chiropractic practice and am forever grateful for how much better I am feeling since getting treatments there."
Jody Lefkowitz
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