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Your First Visit

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Patient Forms

Upon entering our office, our receptionist will welcome you as a member of our family. We will request that you complete our patient forms located in the New Patient Center. This paperwork provides us with your health history and information on your condition.

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Next, you will have a consultation with Rick Essman to discuss your health-related problems, concerns, and potential treatment options. This initial visit is designed for Rick Essman to learn more about you, your condition, and expectations to determine how chiropractic care can meet your goals.

Image of woman getting massage.


After your consultation, Rick Essman will perform a complete chiropractic examination testing your reflexes and flexibility. Other standard neurological, orthopedic, postural, and physical tests will be performed as well. However, nothing will be done in our office without your consent.

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X-Ray Studies

Depending on your specific condition, we may 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.

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Report of Findings

Once the information is collected and examinations are performed, Rick Essman 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 treatment cost?

After reviewing your health history, goals, and examining your spine and X-rays, Rick Essman will discuss recommendations and notify you if your condition requires care with other providers. Rick Essman will provide the best treatment and wellness program for your needs.

Image of woman getting adjustment.


At the conclusion of this initial appointment, you can choose to experience your first treatment. This may include spinal adjustments, physical therapy, and/or soft tissue massage. Treatment is interactive, so you can express concerns about the different styles of treatment anytime.

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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: ice or heat application instructions, certain activities or positions to avoid, and at home exercises and/or stretches. If you desire, our wellness team 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 diet, exercise, and maintain a positive mental state.

Call for a Consultation with Dr. Fritz Mesilien Today.

Office Hours


8:30 am-11:30 am

2:00 pm-6:00 pm


8:30 am-11:30 am

2:00 pm-6:00 pm


8:30 am-11:30 am

2:00 pm-6:00 pm


8:30 am-11:30 am

2:00 pm-6:00 pm


8:30 am-12:00 pm








  • "Wonderful treatments and a great staff to assist Dr. Rick Essman. I could not go through a season without their care. Comfortable environment an escape"
    Joanne McCallie April 2012
  • "I'm so incredibly thankful that I met you guys... you saved me from having serious nerve surgery 2 years ago on my wrist, and for that I am forever grateful. I look back at my first visit to your office, when I couldn't pick up a pen to write, let alone ride my bike anymore because my ulnar nerve was completely dead. Wow. You saved my cycling (and my ability to button my shirt up)"
    Jenn K. / Durham, NC November 2009
  • "I have been a client of Durham Chiropractic Center and Dr. Rick Essman for years. As an endurance athlete I am constantly putting my body through all types of stress. Dr. Rick has changed my life with his Chiropractic skills, helping me through countless bumps, bruises, and injuries. Dr. Rick sets himself apart from other chiropractors I have seen because of his dedication to his clients’ long-term success. His focus and dedication to finding the route cause of issues in addition to treating the immediate symptom is what has made me a lifetime patient and is why I send all of my family and athletes that I coach his way."
    Ben Turits July 2015

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