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D.C.

"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. In case you do not have chiropractic health benefits, we are proud to be providers for Preferred Chiropractic Doctor (www.bewell2.com) which offers discounts of up to 60% off the standard office visit. Please follow the link to find out more about how PCD can save you money.

 

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

 

Insurance Information Form:

 

button  Patient's Name :
 
button  Name of Insured:

  
    Insured's relationship 
to Patient (if not same):

  
button  Email:

  
button  Phone Number:

   (    )   
button Patient's Birthdate:

  
Birthdate of the Insured:

  
button Subscriber or Member
ID Number:

  
buttonGroup Number:

  
button Health Insurance Company
( Aetna, BCBS, Cigna, UHC, etc )
&
Type of Insurance:
(PPO, HMO, POS, etc.)


  
button   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.