Insurance & Forms

We are providers for just about all insurance groups, including Blue Cross Blue Shield, United Health Care, Medcost, Aetna, and Cigna.
If you have an insurance plan in which we participate, you usually will have a copay and/or deductible.  We will verify benefits and file your insurance for you.  If you are not sure whether you have chiropractic benefits or your plan is not listed, give us a call.
To save yourself some time, bring to the clinic, the downloaded completed forms necessary for your treatment.
Download New Patient History form
Download Consent to Chiropractic Care form

We request that all new patients fax a copy of your insurance card to 336.617.8190, or you may email us with the following information:

  • Name of Insurance Company
  • Name as it appears on the card
  • Your Date of Birth
  • ID #
  • Group #
  • Phone # for Providers to verify Benefits

NOTE: If someone other than yourself is the Primary Insured, please list their name and date of birth also.

Cash Patients: 20% discount

  • 1st visit (which includes exam) $100-120
  • Each additional visit - $72 (adjustment & ART)