Flash movie failed to load.

Carmichael Chiropractic accepts most insurance. If you have any questions regarding your coverage we would be happy to verify your insurance for you. Our insurance specialists are trained to find out what coverage applies to the type of care that we perform. Because the treatment that we perform can be covered by different parts of your coverage, it is helpful to have our specialists inquire for you. If you would like this done, you may fill out the form below and submit it. That way, by the time you come in for your initial evaluation you’ll know exactly what help you will have from your insurance company.

  • Group Health Insurance
  • Automobile Accidents
  • Slips & Falls

 Insurance Benefits Request

Minimum required fields are indicated in red. However, please fill out the form as completely as possible.

Our insurance specialist will check on any applicable benefits and contact you by phone or email as to the outcome of our inquiry.

Please read the HIPAA privacy policy prior to submission.

Patient's Name
Patient's Home Phone
Work Phone
Cell Phone
Patient's DOB
Patient's SS#
Insured's Name
Insured's SS#
Insured's Group#
Insured's ID/Member#
Insurance Company Name
Insurance Company Phone#
Email
Comments
I have read, and agree to, the HIPAA privacy policy.

HOME
ABOUT US
TESTIMONIALS
YOUR FIRST VISIT
THE ROAD TO RECOVERY
GETTING STARTED
LOCATION
INSURANCE
PRODUCTS
CONTACT US
RELATED LINKS

          Conveniently Located       


WADSWORTH / EASTMAN
3214-B S. Wadsworth Blvd.
Lakewood, CO 80227 [map]
303-984-1700

©2008 CARMICHAEL Chiropractic. All Rights Reserved. Web Design: Oliva Ventures