WELCOME to our office. We are happy you made the choice to make our office your Wellness Headquarters. We look forward to serving you.
Find out more about Chiropractic by clicking HERE.
New Patient Paperwork
If you would like to save yourself time at your first appointment, please print and fill out the paperwork and bring it with you to your first appointment. Please be sure to fill out the New Patient Intake as completely as possible. If you have any questions in regards to the paperwork, please let us know at your appointment. Thank you.
NOTE!!
All paperwork is password protected so please choose
"Read Only" to print.
General Paperwork -
| new_patient_intake_2011.doc | |
| File Size: | 87 kb |
| File Type: | doc |
| privacy_practice.doc | |
| File Size: | 66 kb |
| File Type: | doc |
| gindele_family_chiropracticpolicy.doc | |
| File Size: | 38 kb |
| File Type: | doc |
| open_adjusting_agreement.doc | |
| File Size: | 65 kb |
| File Type: | doc |
| informed_consent.doc | |
| File Size: | 26 kb |
| File Type: | doc |
Insurance Forms
| insurance_1500_signature.jpg | |
| File Size: | 1648 kb |
| File Type: | jpg |
Medicare Specific Forms
| medicare_abn.doc | |
| File Size: | 58 kb |
| File Type: | doc |
| medicare_policy.doc | |
| File Size: | 63 kb |
| File Type: | doc |