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AUTO ACCIDENT PATIENTS:
If you have sustained an injury due to an Automobile Accident please print and complete the following TWO forms and bring them with you to your appointment:
Auto Accident Form / Confidential Patient PIP Form
WE ACCEPT: State Farm, Progressive, Geico
and ALL OTHERS!!!
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CAR INSURANCE PATIENTS:
WE ACCEPT: State Farm, Progressive, Geico
and ALL OTHERS!!!
At Waterside Chiropractic we are experienced in processing car insurance claims and are happy to assist you process your forms. Please print and complete the following form and bring it with you to your appointment:
Confidential Patient PIP Form
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WORK RELATED INJURY PATIENTS:
If you have sustained an injury due to a work related injury please print and complete the following TWO forms and bring them with you to your appointment:
Worker's Compensation Form / Confidential Patient Form |
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SELF PAY/CASH "NON-INSURED" PATIENTS:
We accept ALL forms of cash pay:
CREDIT CARD, DEBIT CARD, CASH, and CHECK!!!
If you are a cash paying patient with no insurance involved, please download and complete the following form: Confidential Patient Form and bring it with you to your appointment.
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INSURANCE PATIENTS:
We work with ALL insurances and are Preferred Providers with Blue Cross Blue Shield and Aetna!!
If you are an Insurance paying patient please download and complete the following form: Confidential Patient Form and bring it with you to your appointment.
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