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Find all the forms needed for your first appointment…

Please print and complete all applicable forms to bring with you to your first appointment. We also ask that you present a copy of all insurance cards and a photo ID.

Remember to arrive at least 15 minutes prior to your appointment.

If you should need further assistance you may contact us at (916) 484-0321 — Our knowledgeable office staff will be happy to help you with any additional questions you may have.

 


Cash & General Insurance Patients

Confidential Health Information

Informed Consent to Chiropractic Care

Massage Therapy Policy

Notice of Privacy Practices


Medicare Patients

Confidential Health Information

Neck Index – Front Page

Neck Index – Back Page

Back Index – Front Page

Back Index – Back Page

Informed Consent to Chiropractic Care

Massage Therapy Policy

Notice of Privacy Practices


Personal Injury Patients

Auto Accident Information

Neck Index – Front Page

Neck Index – Back Page

Back Index – Front Page

Back Index – Back Page

Insurance Assignment & Lien

Notice of Doctor’s Lien (Please complete TWO copies)

Informed Consent to Chiropractic Care

Massage Therapy Policy

Notice of Privacy Practices


 

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