Become a Patient

We strive to serve all our patients to our best ability. Download and fill out the New Patient Forms to save you time on your first visit.

Payment Information

Our goal at Enlightened Chiropractic is to allow everyone to experience the benefits of Chiropractic Care and offer a variety of payment options.

Downloadable Forms

New Patient Forms

Download and complete the New Patient Forms below prior to your appointment.

New Patient FormPatient Intake Form (under 12)

Involved in an Accident

Please include and complete the form below if the reason for your visit is due to an accident.


Spanish Forms
Intake Form (Spanish)Symptom Location (Spanish) Accident-Injury-Questionnaire (Spanish)

Payment Options


Most insurance plans are accepted by our office, including Medicare. We accept auto accident and personal injury cases that have resulted in back pain, neck pains, headaches or other related pain conditions.

Because Chiropractic benefits vary by Insurances, our staff will gladly verify your benefits prior to Dr. Khanh doing any treatment on your first visit.

No Insurance

Our first objective is to help our patients feel better. For patients who have little or no chiropractic insurance coverage, our office will work with you to arrange a flexible payment plan that fits your budget while continuing to get the corrective and wellness care you need.