Required paperwork for Personal injury:

Required paperwork for Worker's Compensation:

Cash/Insurance paperwork

Personal Injury Info

Informed Consent

Notice of Privacy Practice

Auth. to release med info

Doctor's Lien

PI Financial Agreement

Pain Diagram

Worker's Compensation Info

Informed Consent

Notice of Privacy Practice

Auth. to release med info

WC designation of Chiro

Worker's Comp Financial Agreement

Pain Diagram

Patient Info

Informed Consent

Notice of Privacy Practice

Auth to release med info