Patient Paperwork & Payment Options

Patient Paperwork

We offer our paperwork online so you can complete it in the privacy and convenience of your own home. Please be sure to bring them with you to your first appointment, or you may fax them to us ahead of time. Here are the essential forms we use and why we need them:

New Chiropractic Patient Form

Patient Intake Form

This form lets us know the reason for your visit, but perhaps more importantly - where do you want to take your health from here?

Download Form

Download Adobe Reader


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

Payment Options

At Preferred Spine & Rehab, we work with all insurance plans. Please remember to bring your insurance card with you for your first New Patient Consultation. If your insurance provider changes during the course of your care, please let us know, as we will make changes accordingly.

We accept a variety of payment methods including:

  • Care Credit
  • Cash
  • Personal Checks
  • Credit or Debit Cards (Visa, MasterCard, or Discover)