Forms and Insurance


Please click on the links below to download the forms, fill them out and bring them to your first appointment.

Adult Forms:

Introduction Patient Case History

Child Forms (5 years of age and under):

Child Case History Form

Motor Vehicle Accident Forms (Please print both sections)

Accident Injury Questionnaire

Introduction Patient Case History


Most insurance plans are accepted at our office. We accept auto accident, workers compensation, personal injury and most health insurance plans, including Medicare. Since there are so many plans and coverage varies widely, please contact us to find out if your plan covers care in our office. Our staff will be happy to verify and explain your benefits before treatment.

Naturally Chiropractic believes in the value of wellness care for you and your family and have maintained a pricing structure that allows care for all budgets. For patients who have little or no chiropractic insurance coverage, flexible payment programs can be arranged.