Online Forms
City Line Chiropractic offers our patient form(s) online so they can be completed it in the convenience of your own home or office.
- If you do not already have AdobeReader® installed on your computer, Click Here to download.
- Download the necessary form(s), print it out and fill in the required information.
- Fax us your printed and completed form(s) or bring it with you to your appointment.
New Patient Health History Form - Required
This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!
Download the Free AdobeReader®
Payment Options
City Line Chiropractic believes in the value of wellness care for you and your family and have maintained a pricing structure that allows care for different budgets. Our office participates in a variety of insurance programs. We also accept auto accident and workers compensation cases.
Insurance
Most insurance plans are accepted at our office. However, insurance coverage varies by patient, so we'll review options with you at the conclusion of your first visit. Our staff will verify and explain your benefits before treatment begins.
No Insurance
For patients who have little or no chiropractic insurance coverage, flexible payment programs can be arranged. If you have no insurance or do not have chiropractic benefits, there are ways for you to receive the care you need. Many patients pay directly for care, as they discover chiropractic to be extremely cost-effective and affordable.