Kirk Chiropractic Center
Please use the following links to print and fill out our insurance
coverage and patient health history forms. The forms are formatted
in Adobe Acrobat, in order to view them you will need Adobe Acrobat
Reader installed on your computer. If you do not have Adobe Acrobat
Reader you can click here to download it FREE.
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GROUP OR INDIVIDUAL INSURANCE
We attempt to take out as much of the "insurance hassle" as
possible for you. We'll happily telephone your insurance company to verify
your coverage benefits. Please remember, however, that the benefits quoted
to us by your insurance company are not a guarantee of payment. We will
file your claim and await payment for 90 days. If your company pays the
benefits they quote to us, the only services you will be responsible
for are any non-covered services, deductibles or co-pays. If you have
any questions at all regarding your financial responsibilities at our
office, please do not hesitate to ask. Our insurance clerk has years
of experience and will be happy to assist you.
PATIENTS WITHOUT INSURANCE
An increasing number of patients do not have insurance, or have plans
with limited coverage, such as catastrophic policies. We realize that
no one wants to build up a large bill. Therefore, we have several plans
so those patients may receive complete care without undue financial
difficulty. Of course we are always happy to accept cash, your personal
check, MasterCard, Visa, Discover cards & AMEX.
"ON THE JOB" INJURY (
PERSONAL INJURY OR AUTOMOBILE
ACCIDENTS
Contact us regarding information for On the Job injuries and Auto Accidents
SECONDARY INSURANCE
Please inform us of any secondary insurance you may have. We will assist
you if you need help in filing.
