Welcome New Patients

All New Patient Information is Confidential
The purpose of our clinic is to support each individual in understanding their health potential and to achieve their healthcare goals. All patient education and treatment is designed especially for you. We hope that you share this opportunity with people you care about.

Outline of Procedure for New Patients

Step One: All new patients are requested to fill out our comprehensive New Patient Forms. These forms can be completed in our office, or can be downloaded and printed out from our website (here below) to allow you to complete them prior to your first appointment. Some of the questions are what we call “thoughtful”. We ask that you offer the most complete and concise information possible. You will notice that Dr. Dillberg’s emphasis is not only on your symptoms, but also on your priorities and health goals. Together you will make a health plan to help you attain your goals and feel your best.

Step Two: Your initial appointment will include Dynamic X-rays, High Resolution and a very comprehensive Health History and Evaluation. The doctor will ask you pertinent questions to complete your history and help to identify any contributing causes for your health issues. During this evaluation will take additional time to explain his approach and give you information that will allow you to make educated decisions concerning your health plan.

Throughout the consultation, and during the Doctor’s explanations, he will be trying to determine if the services we offer are a fit for your health issues and your personal goals. As the Doctor explains his recommendations, and his unique approach for your particular health issues, please let him know if you understand and agree – or if this type of healthcare program does not resonate with you. If he determines that he can accept your case, you (along with the doctor) will determine what your health priorities are, and your initial course of action for better health.

Step Three: Your complete evaluation including Postural Analysis, Dynamic X-rays , High Resolution Blood Analysis, Chinese Medical Evaluation, Chemical Balance evaluation, and Orthopedic or Neurological Examinations as your case requires. (Please refer to the complete explanations of these exams by clicking on the "our services" tab).

Step Four: If your case requires immediate attention, care will be administered.

Step Five: You will be advised when to return for a “report of findings” when your Doctor will inform you of his recommendations and whether your case has been accepted. Financial arrangements will be discussed.

Step Six: A treatment program will be recommended based upon your needs, and your health care goals.

Step Seven: Treatment will begin and your case will be monitored with re-exams and re-xrays as needed until your condition has been fully corrected or until maximum benefits has been obtained.



Thank you for your interest in our office, and your commitment to better health. We would be very happy to work with you to meet your health goals. 
Please call our office to set up an appointment (808) 742-9326.  Using email (because we have to go back and forth) could delay you getting the appointment time you need.  We look forward to speaking with you, and answering any questions you might have.
The first step to toward improving your health is the Initial New Patient Evaluation and Examination. The fees for this evaluation includes the costs for the examinations and the report of findings that will be scheduled in a follow-up appointment.

New Patient Fees
The most common course for our new patients is to undergo the Comprehensive Initial New Patient Evaluation and Examination. This evaluation includes the Consultation, Comprehensive Health History, Postural Evaluation, Dynamic Structural X-rays with report of findings, Integrated Structural Alignment and therapies, High Resolution Blood Analysis, Nutritional and Lifestyle counseling. These services are commonly scheduled over 2-3 visits. The cost is bundled at a discount for our patients to only $995.00. Depending on the complexity of your case, healthy history, medical records review, or urgency, the fee may be higher. This is a very comprehensive evaluation, and it is the gateway to all of the other services in our office.

You may request to schedule the consultation or evaluations individually. Call our office for the fees for each examination.

Missed Appointment Policy

: Because we offer comprehensive treatment, and spend a great deal of time in preparation for each appointment, we require at least 48 hours notice when canceling a new patient appoinmtent (24 hours notice to cancel or change a routine appointment). Our missed appointment fees are 50% of the regular fee for the appointment.
Insurance coverage is varied, depending on your policy and the services rendered. 
Worker's compensation and Auto Med Pay insurance generally pay 100%, without any deductible. 
Our office is not able to participate with PPO's or HMO's because of the wide background and services the doctors provide in this office.  In insurance terms, they call our office "multi-disiplinary", which means that they believe that when you come to an office that offers a wide variety of services it will likely cost the insurance company more money.  We strongly disagree - because our patients receive care for the whole body, and are able to participate in programs that get them healthier, faster, and with better understanding that allows them to progress year after year to become the best they can be.  We do however, provide "superbills" for our patients to submit fees from our office to the insurance company for reimbursement.   Additionally, we set up personalized payment programs for our patients to allow anyone who is serious about their health to be able to receive care in our office.  
Auto Accident or Work Related Injury: If you have been in an auto accident or experienced a work related injury insurance will pay for 100% of related health care. Please let us know as soon as possible and we will work with you to obtain full insurance coverage.
At Dillberg Integrated Healthcare we do not want our fees to get in the way of anyone who is serious about their health.  We offer many different program and payment schedules, and can personalize a program to meet your health care needs and priorities. 
Please call our office for specific fee information after you have reviewed the different services we offer.  We are always happy to help you set your priorities and develop a plan that will allow you to feel your best.


In order to determine how we can best help you and establish which examinations and treatment methods are of the highest priority, it is important that you complete a thorough health history for your confidential file.  Please read through these instructions, and then click on the link below to download the printable forms.  Let our office know that you have already completed the paperwork, prior to your appointment time.

Please complete all of the information as fully as possible – use extra paper if necessary.

Page one explains our services and allows you to prioritize the types of care you are most interested in.  You may number the different categories, or you can prioritize them using “A – B – C – D” if that might be easier for you. 

Page two gives us confidential information and the foundation for your file, and allows you to explain your healthcare goals.

Page three :  Continue by giving us your health history. 

Page four :  List your lifestyle habits and any health conditions.

Pain chart :  On this page you can circle or draw arrows to indicate the areas you feel pain or have symptoms.  Use the pain number scale (1-10) to signify the severity in each area. 

Call our office as soon as possible to make arrangements for your first appointment at (808) 742-9326.  We look forward to helping you meet your healthcare goals.






New Patient Forms.pdf137 KB
Pain Chart.pdf174.17 KB