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New Patient Forms

 
 
 
 

Pediatric Forms

 
 
 
 

Our practice does participate with Medicare and accepts assignment of Medicare claims on your behalf. This means we file your claims for you and await the bulk of payment from Medicare.

Because we accept assignment, at the time of service you will be responsible for your annual deductible and 20% co-payment of the chiropractic adjustment that is deemed medically necessary.

When your condition becomes stable, you’ll have entered wellness care and will become responsible for 100% of the cost of the chiropractic adjustment. At that time we will notify you of your possible payment options to make the care you need affordable.

For more information please see Understanding Your Medicare Benefits: How Our Practice Works as a Participating Provider with Your Medicare Coverage.