We’re glad you’ve made the decision to allow us to help you on your wellness journey. New patient forms are available below; please print them out and bring them with you to your first appointment. We look forward to meeting you and welcoming you into the Align family.
Many insurance carriers cover chiropractic care. However, most carriers have established limits on their allowable benefits coverage. We will attempt to determine which services are covered, what your deductibile is, the amount of your deductible that has been met, and what your insurance carrier deems as the patient responsibility. When we have completed the research, our Business Manager will review this information with you.
For those patients who may not have met their deductibles, we have a very favorable cash plan which we will be happy to share with you in detail prior to your first appointment.
New Patient Forms
- About Your Appointments
- Medical Records Release
- Standard Disclosure
- Symptom Survey
- Chiropractic Treatment Consent
- Notice of Information Practices and Privacy Statement
- Patient Information History
School/Sports and Employment Forms
Auto Injury Forms
- Disclaimer Authorization Letter of Protection
- Assignment of Benefits
- Automobile Accident Questionnaire
Spa and Massage Services Forms