Verify Your Insurance Benefits

We are happy to verify your chiropractic and massage benefits. Please keep in mind, however, insurance policies are a contract between you and your insurance and these benefits are only a quote. We cannot guarantee the accuracy of what is provided to us.

Name*
First Last
Email*
Phone*
Date of Birth*
Date Format: MM slash DD slash YYYY
Insurance Carrier*
Member Number*
Insurance Group*
Insurance Customer Service Number*
How did you hear about us?*
- Friend or family member
- Healthcare provider
- Insurance company
- Internet search
- Facebook/Twitter
Any Additional Comments

PDF Patient Forms

New Patient Form

Records Release

Auto Accident Report

Verify Your Insurance Benefits

PDF Patient Forms

Pin It on Pinterest