Become a Patient

Patient Forms

Download and complete your New Patient Form as well as the Consent Form to save time!

If you are under the age 12 complete this form Patient Intake Form (under 12) as well as the Consent Form (under 12).

If you were involved in an accident, complete the Accident Injury Questionnaire and also the Consent Form.

Payment Options

Insurance

Most insurance plans are accepted at our chiropractic office. We accept auto accident and personal injury cases that have resulted in back pain, neck pain, headaches, or other related pain conditions. We also accept most health insurance plans, including Medicare. Because there are so many insurance plans out there, and because coverage for chiropractic care varies widely, please call us to find out if your plan covers care in our office. Before you start a chiropractic care plan, our staff would be happy to verify your benefits and explain them to you at no charge.

No Insurance

Our goal at Enlightened Chiropractic is to allow everyone to experience the benefits of chiropractic care and adjustments. For patients who have little or no chiropractic insurance coverage, we can work with you to arrange a flexible payment program that fits your budget. If you have no insurance or if your insurance does not have any chiropractic benefits, there are still ways for you to receive the pain relief and chiropractic care that you need. Many patients choose to pay directly for their visits with the chiropractor, especially as they discover that chiropractic care is actually extremely cost-effective and affordable. For these patients, chiropractic care is often cheaper and more effective than alternative pain treatments such as pain medications or invasive surgery.