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  Many are concerned with financial arrangements for chiropractic care. However, many insurance companies do cover chiropractic treatment, as well as physical therapy.

If you do not have insurance, we still want to make sure you get the best treatment possible at an affordable cost.

Simply fill out this simple questionnaire with your insurance information and one of our staff will check on your benefits and respond as soon as possible. It is just a phone call away to know all the details to your insurance plan, and we can take care of it all for you!

Name:   Last, First
Name of insurance company:
Phone Number to insurance company:
Member ID:
Date of birth:
Group Number:
Zip code:
Phone number to reach you at with the Insurance Information:
   
 
 
*** All information is confidential.
However, all information is needed to check benefits so please fill out each section completely.***

For verification purposes, please type in the numbers and letters that you see below then press the Send Request button





               


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