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Call Us Today

(985) 307-0977
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Exclusive Offer

Welcome To Your Destrehan Back & Neck Pain Relief Center

Short-Term Care For Your Back & Neck Pain

Be Seen Today/No Referral Needed

Our Goal Is To Get You Out Of Pain As Quickly As Possible

Dr. Roussel Is The Highest-Trained Whiplash and Brain Injury Traumatology Physician In The River Parishes (Certified By The Spine Research Institute of San Diego)

Exclusive Offer: Sign Up For A Free Pain Consultation ($100 Value) Below

ChiroTrust
ChiroTrust® Member Chiropractor
Destrehan, LA 70047
Chiro-Trust.org

Exclusive Offer: Sign up using the form below, or call (985) 307-0977 to make an appointment and receive treatment today. New patients will receive a FREE pain consultation ($100 value).

Dr. Adam Roussel Is An In-Network Provider With Most Health Insurance Plans. Car Insurance Is Also Accepted.

Riverbend Family Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



Download the Free AdobeReader®

Our Services

Services
We strive to provide complete care for our patients. Learn more about all the services we provide.
Make An Appointment
We will do our best to accommodate your busy schedule. Schedule an appointment today!
Online Forms
Our patient forms are available online so they can be completed in the convenience of your own home or office.