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Your First and Second Visit

Patient Forms

Once you have made your initial appointment, you will be given instructions on how to complete your Electronic Health Records. These records will provide us with your health history and information on your condition.  If you do not have access to a computer, please let us know and we will set aside extra time to complete your records.


Next, you will have a consultation with either Dr. Elizabeth Pagano or Dr. Rick Florez to discuss your health concerns and potential treatment options. This initial visit is designed to learn more about you, your condition, and expectations to determine how chiropractic care can meet your goals.


The doctor will perform a complete chiropractic examination testing your ranges of motion, reflexes, muscular balance and spinal integrity. Other standard neurological, orthopedic, postural, and physical tests will be performed as well. However, nothing will be done in our office without your consent.

X-Ray Studies

Depending on your specific condition, we may decide to take X-rays as well. X-rays help us develop the most effective treatment plan for you, and alert us of any serious spinal conditions. Most people are amazed once they see their X-rays up close. In some cases, they can even identify their misalignments and degeneration themselves.  

Report of Findings

Once the information is collected and examinations are performed, Dr. Elizabeth or Dr. Rick will give you a detailed report of all findings and answer any questions including:

1. How can you help me?

2. How often do I need to come in?

3. What will my care cost?

After reviewing your health history, exam findings, and evaluating your spine and X-rays, we will discuss recommendations and notify you if your condition requires care with other providers.  We will provide the best treatment and wellness program for your needs.


At the conclusion of this initial appointment, you may experience your first adjustment.  Your care plan is interactive, so you can express concerns about the different styles of treatment anytime.

Wellness Program

Prior to leaving, the doctor will suggest a wellness program to incorporate outside of treatment.  If you are in pain when you first come into our office this may include: certain activities or positions to avoid, and at home exercises and/or stretches.  If you desire, we will work with you also to create healthy habits and routines for your lifestyle.  Every person is unique, therefore everyone requires a customized wellness plan.  The purpose of our wellness program is for you to achieve good spinal alignment, have a healthy food intake, exercise/movement, and maintain a positive mental state.


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Office Hours

Our Regular Schedule

Raleigh Office


7:30 am-3:00 pm


7:30 am-6:00 pm


7:30 am-6:00 pm


7:30 am-4:00 pm








Reviews By Our Satisfied Patients

  • "The Chiropractic Café is a very Warm and Friendly environment. As a physician myself, I think Drs. Rick and Elizabeth do a great job explaining their treatments and have extremely good bedside manners. They do a great job creating the doctor/patient relationship which is one of most important parts of any healing modality. I would highly recommend them to all my friends and family!"
    Jennifer - Raleigh, NC