Forms for Download

New Patients Form

Please download, print and fill out the New Patient PDF form and bring it with you on your first visit – download the New Patient Form here

Insurance

I am a provider with Medicare and Medicare does cover chiropractic.  If you have other insurance we will make every effort to work with you.  If you do not have insurance or a high deductible makes your insurance relatively useless we do have  Ameriplan a plan that will allow us to offer you a discount.

To join Ameriplan click here There is a monthly fee of $14.95 for individuals and $19.95 for the whole family.

If you have questions on the plan or anything else feel free to ask.

Questionnaires for Patients

Personal Injury Forms

Attorney Forms