Patient Resources
FORMS AND INSURANCE

Fill out your Application for Care in advance to save yourself time in the office.

New Patient Form

This form tells us important information about your health history.

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Pediatric Form

To be used for patients 12 years of age and younger.

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Auto / Work Accident

Complete the blue and black portions of this form if your health concern is due to an automobile accident.

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Insurance

Most insurance plans are accepted at our office. We accept auto accident, workers compensation, personal injury and most health insurance plans, including Medicare and Medicaid. 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.

Champion Family 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. To learn more about our payment options for chiropractic and wellness care, please contact us.