Dr. Valchar wishes to help the patient and their local
practitioners to find the best treatment venue leading to a successful therapy.
Dr. Valchar’s office, located at 218 College St. W. Belleville, Ontario (see 'About
Us' for complete address), is
easily accessible for patients living in the Northern U.S. and Southern Ontario.
Patients who cannot visit may fill out the questionnaire herein and then fax it
to (613) 968-9626. You will receive a reply within fourteen days, which will include
a BCT evaluation and a list of recommended procedures for you to follow. It may
include manipulation, nutrition, herbals, homeopathics, acupuncture and
inspirational concepts. The cost for this report, which may be faxed or
e-mailed, is $100.00 US ($150.00 CDN). Payment can be made by mailing a money order,
by calling our office or by e-mailing or faxing a current
VISA number. This service is for the serious patient only. The
doctor wishes to give broader exposure to his approach to those who are in the
greatest need. He wishes you well in your search for health. Included in the review of your case, please include
a typed or hand written note containing the following information; include any
pertinent details. Please forward this information by mail to the address above or
if necessary by fax to: (613) 968-9626. Symptoms: A concise review of problems with a
time line. What and when? Surgical History: A list of operations. Scars with location drawn on a
body chart. Be detailed about size of scars. Were there any implants? Dental History: Type of fillings - amalgam,
plastic, gold, or other. Type of anesthetic xylocaine or other. Teeth pulled.
Chemicals used – fluoride or other. Work History: Describe your physical activity
during work. Any exposure to chemicals and strong odors. Also injuries at work
or home. Motor vehicle accidents: Severity, area of injury, symptoms and
treatments. Blood Type: This is type A, B, AB, or O. Family History: Illness, body types, character
types of parents. Emotional Types: Do you have uncomfortable and
bothersome emotions? Drugs Taken: List names, duration and amount. Diet: Foods and beverages eaten at breakfast,
lunch ,dinner, and snacks. Stress: Situations, frustrations, disappointments
at home, at business, or personal. Supplements: Vitamins, minerals, herbals, remedies and special foods. Treatments: Chiropractic (type of manipulation)
acupuncture, reflex therapy, cranial. Upon receipt of your report, Dr. Valchar suggests that
you implement changes in diet and treatment slowly, with one major correction
per week. Improvement of a major health problem takes 9 months to one year. Be
patient with yourself. Please include your phone number, e-mail and street address and zip/postal
code. On your case history, a recent photograph
helps greatly in assessment by providing an indication of body type skin tone
and overall clinical impression. Payment can be made in US or Canadian dollars: by VISA, by
check, or by money order. As a registered professional in the Province of
Ontario, we guarantee confidentiality and security of your financial and
personal records. A receipt will be mailed once payment has been received.
Although successful outcomes are not guaranteed, we trust that the
recommendations will further your success. As a final issue it is essential that you appreciate the arms length nature of
our relationship. The doctor sincerely wishes to help but is not responsible for outcomes. He may or may not accept
your case due to complexity of certain situations. Improvement is the norm but the initial stages of treatment generally
involve minor aggravations which should be short-lived. These changes should not be construed as a deterioration
of organic function but as the body's attempt at wellness. True worsening of your case is indicated by a increase in
pain and fatigue. Any major change should be communicated to a licensed practitioner. Doctor
Valchar of course
is interested in any positive or negative result and appreciates immediate
notification of same. Assistive comments and suggestions will be e-mailed back to you.
Please click on
this link and print the following Questionnaire.
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