At Comprehensive Chiropractic Center, we value your time. You can accelerate your check in process by downloading, printing and completing the below forms before coming in for your first office visit.
Download Patient Registration Form (3 pages) This form provides patient information, contact, and medical history. It also allows us to submit fees to your insurance company and receive reimbursement.
Download Accident Injury Form (11 pages) This form provides patient information regarding injuries sustained in an accident, type of accident, responsible party, and assignment of benefits which allows up to receive reimbursement.
Note: The forms are furnished in PDF format and require Adobe Acrobat, Acrobat Reader, or compatible application to view and/or print. You may install the FREE Acrobat Reader application by clicking link.