636-922-9993 AK_Chiropractic@yahoo.com

Please Print the following documents and bring them filled out to your appointment.

 

New Patient Forms – Dr. Tyler

Each New Patient Appointment is 1 hour.  This gives our doctors enough time to truely listen to your health problems, family history and also allow time for treatment.  Follow up appointments are 30 minutes.

Cancelation Policy: 24 Hour advance notice if you can not make your set appointment.  There is a $40 Cancelation Fee for appointments not rescheduled or canceled within 24 Hours of your appointment.

Payment/Fees:

For Dr. Jeremy & Dr. Tyler: The patient is responsible for paying for the visit upfront at the time of  your appointment. Upon checkout, you will receive a “Super Bill” receipt. This “Super Bill” will have all necessary service, diagnostic, and doctor codes your insurance company will need. Please contact your insurance on where to send your “Super Bill”, your insurance can then process and reimburse YOU (the patient) for the percentage that it covers for Chiropractic Care.

For Dr. Candice: Dr. Candice is in network with Blue Cross Blue Sheild, Cigna, and United Healthcare. Depending on your insurance, a copay may be due at the time of service.

Medicare All Doctors: You are responsible for paying for your visit upfront at the time of your appointment. Our office will submit claims to Medicare, and Medicare will reimburse YOU (the patient) for the percentage that Medicare covers for Chiropractic Care.

 

Patient Testimonials

Abriana

"Dr. Jeremy is an absolute genius at what he does. He has completely resolved stubborn health issues for me for which other doctors could not provide any relief. He's very professional, personable, and easy to be around. The office staff here is also super easy to work with...

Sean

"I was referred by a friend and very happy so far. Dr. Candice was excellent and was very genuine towards seeing that I get healthy again. I appreciate the honest approach to treatment. Thank you."

Keith

"Dr. Jeremy takes Chiropractic care to the next level. You will be totally satisfied with the level of care and service."

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