"Grouped by means of payment for Services":

(You will need Adobe Acrobat Reader "PDF files" it's free) to view and print most of these forms) 

Cash (No Insurance Paying Patients):                                                 Blue Cross Blue Shield:

New Patient Form 1.2 MB download (adobe PDF. file)                                                                                                    New Patient Form 1.2 MB download (adobe PDF. file)

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Auto Accident Specific Forms:                                     

New Patient Form 1.2 MB download (adobe PDF. file)

Auto Accident Form (adobe PDF. file)

Assignment of Benefits for care (Microsoft Word file)

Neck Pain and (Oswestry) Lower Back Pain questionnaire (adobe PDF. file)

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Workers Compensation

New Patient Form  1.2 MB download

*Contact your employer to file a claim and have your Human Recourses Department get authorization with their workman's compensation carrier to treat with a chiropractic Physician before arriving.