New Patient Forms

As principled family Chiropractors, we correct Subluxations, which is vertebra out of alignment. This misalignment blocks the life force from the brain to the body, creating dis-ease, thus a lowered state of health. By removing this interference, the body has the opportunity to be healed from the inside/out, and restore LIFE.

To save time at your first appointment, please fill out the forms below, print them and bring them with you to your appointment. No worries if you can't do so, we will provide them at the office if needed!

Save time at your first appointment

Blue Cross Blue Shield
Blue Care Network



United Health Care
Most Commercial Insurances

Not all insurances provide the same benefits, if you would like to get a more accurate benefit summary please call our office at 313-565-4500 with your insurance information and we will give you a summary of your benefits. We cannot guarantee what your coverage will be. Some of the insurances listed above need a referral from your primary care physician before they will contribute to your benefits.