PATIENT RESOURCES

patient resources.jpg

office policies and forms:

PATIENT FORMS:

RECORDS RELEASE
ACCOMMIDATION AND ACCESSIBILITY POLICY
METABOLIC ASSESSMENT FORM
ABN
PATIENT UPDATE FORM
PRIVACY POLICY-SHORT FORM
BRAIN HEALTH FORM
privacy policy-LONG FORM

Insurance:

We are participating providers with several health plans listed below, and we routinely work with patients who don’t have chiropractic coverage or choose not to file through insurance. Click the links below for more details. Feel free to ask for a cost estimate of your initial visit if you do not plan to use insurance.

In Network Insurance Providers
2025 Fee Schedule

Motor vehicle accident or workers compensation

Car accidents:

If the accident occurs in MN, or if your car insurance is issued in MN, your medical expenses will be paid by your insurance company regardless of who is at fault. Our staff can help you start a claim. If you already have a claim open, please provide the staff with your claim number, claim address and the name of your insurance adjuster.

MOTOR VEHICLE ACCIDENT FORMS

Workers’ Compensation:

Under MN law, you are eligible for Workers’ Compensation coverage if you can prove that you were injured at work. You will need to fill out a First Report of Injury with your employer and the insurance has to accept liability. You are allowed to choose your primary treating health care provider (although your employer has the right to get an opinion from their doctor as well). Once you have started treating with a provider, you cannot change without authorization from the insurance company or without a referral from your treating provider. Chiropractic care is limited to 12 weeks.

WORKERS COMPENSATION FORM