If you would like us to direct bill your personal health insurance, then please fill out the Insurance Direct Billing Consent form and the Benefit Assignment form.
For Chiropractic Patients – If you are coming in for just chiropractic treatment please print and fill out the following forms: Chiropractic New Patient Form, Chiropractic Office Policies, and Chiropractic Consent Form .
For Acupuncture Patients– If you are coming in for just acupuncture treatment please print and fill out the following forms: Acupuncture New Patient Form, Acupuncture Office Policies, and Acupuncture Consent Form .
For Massage Patients – If you are coming in for just massage therapy treatment please print and fill out the following forms: Massage New Patient Info, Massage New Patient Diagram, and Massage Consent Form.
Insurance Billings – If you have insurance and would like us to direct bill your benefits please print and fill out the following forms: Benefit Assignment Consent Form and Insurance Direct Billing Consent Form.