"In December, I had a vehicle rear end my car and did not feel any pain at the time. Then with additional stress in our business, golfing in Cabo, and sleeping on a hard bed with stiff pillows upon my return home, I could hardly move my head from side to side. After three weeks of treatments I began to have movement and after four months I am completely mobile without pain."

D.C.

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Insurance Info

We are providers for most major health insurance companies such as United Healthcare, Blue Cross/Blue Shield, Humana, Aetna, Cigna, and PHCS.

If you would like us to check your personal health insurance information before your scheduled appointment, please call us to give us that information, or you may use the form below to submit the information at least 48 hours ahead of your appointment.

Fields marked with "" are required fields; however, please fill out this information form as completely as you can.

Insurance Information Form:

Patient's Name :
Name of Insured:
Insured's relationship to Patient (if not same):
Email:
Phone Number:		( )
Patient's Birthdate:
Birthdate of the Insured:
Subscriber or Member ID Number:
Group Number:
Health Insurance Company ( Aetna, BCBS, Cigna, UHC, etc ) & Type of Insurance: (PPO, HMO, POS, etc.)
Toll-free Phone Number of Insurance Company:		( )
Reason for Visit:
Home Address:
Home Zip Code:

To ensure that your initial visit runs smoothly and maximize your time with the doctor, we strongly encourage you to print out your new patient paperwork and fill it in prior to arriving for your visit. If you cannot do so, then please come in 20 minutes before your appointment to fill in the required forms. Thank you for your cooperation.

DISCLAIMER: No individuals, including those under our active care, should use the information, resources or tools contained within to self-diagnose or self-treat any health-related condition. Diagnosis and treatment of all health conditions should only be performed by your doctor of chiropractic or other licensed health care professional.