• New Patient Information

    Welcome to the Active Chiropractic new patient center!

    Arriving at a doctors office for the first time can be a nerve racking experience. Paperwork to fill out, new faces and names to learn, and getting to know your way around the office; this can hit the senses all the at same time causing overload.

    In contrast, at Active Chiropractic our aim is to remove any stressor causing unnecessary tension and make you feel comfortable. In this area of the website you will be able to take care of items necessary for your visit prior to arriving, in the comfort of your home.

    Online Forms

    Active Chiropractic offers our patient form(s) online so you can complete it in the convenience of your own home or office.

    Download the necessary form(s), print it out and fill in the required information.

    Fax us your printed and completed form(s) or bring it with you to your appointment.

    If you do not already have AdobeReader® installed on your computer, Click Here to download.

    New Patient Health History Form – Required

    This let’s us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

    New Patient Online Form

    This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

    Download & Print Form

    Payment Options

    Active 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. Our office participates in most insurance programs. We also accept auto accident and workers compensation cases. 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, you can call our office directly.

    Most insurance plans are accepted at our office. We accept auto accident, workers compensation, personal injury and most health care insurance plans, including Medicare. Since there are so many plans and coverage varies widely, please contact your insurance carrier directly for chiropractic benefits. We will submit your claims and assist you in any way we reasonably can to help get your claim paid. Ultimately, you are responsible for knowing your insurance benefits.

    No Insurance

    For patients who have little or no chiropractic insurance coverage, flexible payment programs can be arranged. If you have no insurance or do not have chiropractic benefits there is still a way for you to receive the care you need. Many patients pay directly for care, as they discover chiropractic to be extremely cost-effective and affordable.

    Health on a Budget

    At Active Chiropractic we’re convinced that a small amount of your time and money to care for your most important asset–your health–will be far less time consuming and expensive than trying to recover it. If you feel you do not have enough time or money to take care of yourself, please contact us–we can help! The last thing we want is for you to come to our wellness center in crisis. So please, we would like to encourage you to take your health very seriously. As the old saying goes, if you don’t have your health, you don’t have anything. Unfortunately, too many people don’t discover how true that statement is until it is too late.

Active Chiropractic