Forms

Download New Patient Paperwork (PDF)

If your appointment is related to low back or neck pain, please fill out the appropriate form below.

Low Back Pain Questionnaire (PDF)
Neck Pain Questionnaire (PDF)

If your appointment is in regards to a Motor Vehicle Collision, please fill out the form below.

Motor Vehicle Collision Forms (PDF)


What to Expect on Your First Visit

Your first visit will include a history, discussion of what is currently going on. This will be followed by an evaluation of your current complaint. Following the evaluation, there is a discussion of the examination findings. If time permits treatment will be performed and if you have multiple complaints, both the history and evaluation will likely take longer and may reduce the amount of time available for treatment during this initial visit. 

Due to the history of your condition and the evaluation, the initial visit is longer and will be more expensive than subsequent visits.

What to Expect on Follow-Up Visits

Follow-up visits will be shorter and focused more on treatment. They will address how you responded to the first treatment (if treatment was performed on the initial visit). There will be an increasing emphasis on progressing treatment. 

Since there is less time allotted for these visits, if there is a new injury or new region of complaint please let the person scheduling your appointment.  This will allow them to schedule a little more time. With a new injury or region of complaint, an evaluation will be necessary prior to treatment. This evaluation will be shorter and more focused since much of the background intake has already been done.

Do you except insurance?

Yes, we do accept insurance. As a courtesy we will get a quote of benefits for you. Remember that this is a quote and it is a good idea to call your insurance company. Even if we are not in-network with your particular insurance company you may have out of network benefits.

It is important to remember that this is a quote and not a guarantee. Insurance companies misquote and/or may change policies. We do our best to get the most accurate information. If there seems to be an issue regarding your insurance please let us know and we will work with you to get the issue resolved.  

Why is there a price range for a visit?

For your initial visit it depends on what services are performed during the appointment. Since it is your first visit it is hard to know for sure what the visit will entail. We use a range based on what typically an initial visit would be based on prior initial visits to the clinic.

For follow up visits it depends on your treatment this may not apply to you. If treatment is different, you may notice a difference in what you owe visit to visit. If this occurs, it is due to changes in the services provided on that particular visit. This is mainly a product of insurance and billing for the individual services that were performed.

So why not have a flat fee for a visit? 

Insurances don’t like it is the main reason. This can get a little complicated and if you have question or and concerns about your visit, please talk with your provider for clarification.

Different insurance companies will pay different amounts for certain services or only cover specific services. For instance, Medicare will only cover a chiropractic adjustment, any other treatment then falls onto the patient. It is also not allowed to bill separate services to insurance and have a flat rate for non-insurance patients. This is called a dual fee schedule and insurance companies frown upon this, because they feel the non-insurance patient is getting a deal that is not being passed along to them, the insurance company.