NEW PATIENT FORMS

WHAT TO BRING

  • INSURANCE CARD INFO

  • IDENTIFICATION

  • PATIENT FORMS

Please download the NEW PATIENT FORMS – print out, complete and return on your first visit OR you may also fill out for forms HERE using our ONLINE FORMS.

SERVICES

  • SPINAL ADJUSTMENT

  • ULTRASOUND

  • X-RAY

  • VITAMINS & SUPPLEMENTS

  • AUTO ACCIDENT INJURY

  • JOB INJURY

  • SPORTS INJURY

  • CHILDREN

  • ACTIVATOR ADJUSTMENTS

  • TRADITIONAL CHIROPRACTIC ADJUSTMENTS

  • DIVERSIFIED TECHNIQUE

INSURANCE & PAYMENT

Walker Chiropractic Clinic Accepts The Following Forms of Payment and Insurance

INSURANCE

  • BLUE CROSS / BLUE SHIELD

  • UNITED HEALTH CARE

  • MEDICARE

  • AETNA

  • CARE N CARE

  • MEDIGAP

  • CIGNA

  • HUMANA

PAYMENT

  • VISA

  • MASTERCARD

  • AMERICAN EXPRESS

  • DISCOVER

  • HSA

  • APPLE PAY

  • GOOGLE PAY

OUR LOCATION

Make An Appointment

USE THIS FORM TO SCHEDULE AN APPOINTMENT

NAME
YOUR
APPT DATE
REASON FOR APPOINTMENT
APPT TIME REQUEST