Insurance Coverage
We accept insurance at East County Chiropractic, however not all insurance plans cover chiropractic care. In the case that your plan does not, please remember that you will be responsible for payment in full. By contacting your insurance company you will be able to find out the scope of coverage. If you prefer, Dr. Clark would be happy to inquire about your plan coverage on your behalf. Simply contact us with your insurance card information at the time you schedule your appointment.
We also accept auto accident, workers compensation and personal injury cases. If you will be receiving coverage under one of these categories, we ask that you bring this to our attention when you schedule your appointment.
We also accept auto accident, workers compensation and personal injury cases. If you will be receiving coverage under one of these categories, we ask that you bring this to our attention when you schedule your appointment.
Patient Forms
Thank you for taking time to complete the following forms prior to your first appointment. Please review all of the documents, however you will only need to print, complete and submit the following forms:
If you are unable to fill out the forms beforehand, please be sure to arrive 10 minutes earlier than your scheduled check-in to allow time for completion. Dr. Clark thanks you in advance for your assistance!
- New Patient Registration
- Financial Policy
- Informed Consent
- Receipt of Notice of Privacy
If you are unable to fill out the forms beforehand, please be sure to arrive 10 minutes earlier than your scheduled check-in to allow time for completion. Dr. Clark thanks you in advance for your assistance!
New Patient Registration
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Notice of Privacy Practices
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Receipt of Notice of Privacy
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Financial Policy |
Informed Consent |
Patient Rights & Responsibilities |
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