First Visit


You will receive some paperwork prior to your appointment that is necessary for us to understand more about you and why you have come to our office. The paperwork is conveniently available to you via email, fax, mail or on our website. Please speak to the office assistant to decide which set of paperwork best suits your needs.


You will have an in-depth consultation with Dr. DeFino to discuss your health-related problems, concerns, as well as potential treatment options. The first appointment is between an hour and an hour and a half.

History and Examination

In order to determine what your actual problem is, Dr. DeFino will ask you various questions related to your condition. Next, a number of specialized tests will be performed to determine which tissues are affected and to what extent.

Same Day Treatment

Once finished with the examination and all appropriate studies, patients will be provided with their first treatment during this same visit. This may include spinal adjustments, physical therapies, and/or soft tissue therapies.

Home Instructions

Prior to leaving, patients will be given instructions on certain activities or procedures to be conducted at home. This may include ice or heat application instructions, avoidance of certain activities or positions, as well as home exercises and/or stretches.

Schedule Your Next Appointment

You will be given a convenient appointment time for your follow-up visit. Generally speaking, patients are seen within 1-2 days and are provided with a complete review of findings. Treatment options for your condition will also be discussed during this time.