New Patient Paperwork
Our office is now 100% paperless. You will be ask to join our online portal after you book your first appointment.
Be sure to fill out your questionnaires before your first appointment.
Insurance Paperwork
Not sure about your benefits?
Use our quick questionnaire to learn more about your benefits and coverage.
Your insurance policy is a contract between you and your insurance company. We cannot guarantee payment of your claims by your insurance company.
Please bring your current medical insurance card to every visit and notify us if there is a change in your insurance coverage. If your current insurance card is not on file, full payment for service will be collected at the time of service.
Cloud Chiropractic DOES NOT pre check benefits. We ask that patients check their benefits before their first appointment or when insurance has changed throughout the year. Please be aware of and provide any required prior authorizations needed in advance of your appointment. If you do not provide these before care is provided, you may be responsible for the cost of the care. When in doubt contact your plan directly for clarification.
IN NETWORK / PREFERRED PROVIDERS
Blue Cross Blue Shield / HMA
United Health Care
MODA
*We can bill ALL auto insurance companies as long as you have PIP
(Personal Injury Protection)
UNABLE TO BILL
We are unable to bill the following insurance companies:
Kaiser (CHP)
Molina/ Apple Health
Cigna
Aetna
OUT-OF-NETWORK PROVIDERS
We are able to bill as an "Out-Of-Network" providers for many others such as:
UMR
Providence
Heath Source
A &I