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Intake Forms

Instructions:  Simply download the attachment, complete the form in its entirety, save as new, then email right back to us at info@advancedchirosport.com  (Be sure to open and close the intake in Adobe or your changes may not save!  Wait to close your document until you get a confirmation that we’ve received it completed.

You may bring a hard copy to your appointment if necessary.

*If unable to complete this intake prior to your appointment please plan to arrive at least 20 minutes before your appt start time.

**Those patients who are seeing us after an automobile accident will need to complete the New Patient Intake Form AND the Auto Accident Form.

New Patient Intake Form

Notice of Patient Privacy Policy (Patient Keeps This)

Consent to Use PHI

Auto Accident Form

*If you need to cancel or reschedule your appointment we kindly ask that you give us 24 hour notice to avoid a cancellation fee of $40. Thank you!

In some ways, one could say that chiropractic care is a bit like building a house - certain things have to happen in a particular order in order for everything to stand strong and work together correctly. When building a house, if you tried to build your walls before you had a solid foundation, your walls would be weak and eventually may even collapse. If you tried to build your roof before the walls were ready, you would run into the same problem. These concepts apply to your body as well, and chiropractic care addresses many common reasons why people experience pain and other health issues. If something is not right with your body's foundation, that needs to be addressed before true health can be achieved. With chiropractic care, your body has to go through a particular plan of care in order to repair itself correctly and fully. There are three general phases of chiropractic care.

Phase 1: Relief Care

If you are in pain when you come into our Murphy chiropractic office, our first objective is to help you reduce pain and start feeling better as soon as possible. Depending on the severity of the underlying condition which is causing your pain, it is typical for a patient to need chiropractic care once a week in the beginning.

Phase 2: Corrective/Restorative Care

During the corrective phase of chiropractic care, muscles and other tissues are allowed to heal more completely, which helps prevent further injury or pain. The goal of corrective or restorative chiropractic care is to help bring your body back to 100% functioning.

Phase 3: Wellness Care

Once your body has fully healed and you are no longer experiencing pain or other symptoms, it is important to come in for periodic treatment to avoid further problems in the future. Usually, this phase of chiropractic care only requires a quick visit to the chiropractor based on your lifestyle and goals.

Payment Options

Advanced Chirosport believes in the value of chiropractic care for you and your family toward the goal of achieving total health and wellness. Therefore, we have created a pricing structure that is flexible enough to allow you to get the chiropractic care you need. Our office only accepts the following insurance: Blue Cross Blue Shield PPO and United Health Care. Patients will need to make sure they have chiropractic coverage under these policies before they book an appointment. We also offer our own private pay rate that is completely separate from insurance rates. Ours is a flat rate that covers all in-office treatments. A first time appointment is $160, the next 4 appointments are $80 each, then it is $65 per visit after this.

No Insurance

Our goal at Advanced Chirosport is to allow everyone to experience the benefits of chiropractic care. If you have no insurance or if your insurance does not have chiropractic benefits, there are still ways for you to receive the pain relief and chiropractic care that you need. Many patients choose to pay directly for their visits with the chiropractor, especially as they discover that chiropractic care is actually extremely cost-effective and affordable. For these patients, chiropractic care is often cheaper and more effective than alternative pain treatments such as pain medications or invasive surgery.

Health on a Budget with Chiropractic Care

At Advanced Chirosport in Murphy, we are convinced that chiropractic care will help you stay healthy and pain-free, using only a small amount of your time and money. Our chiropractic health professionals will help you care for your most important asset--your health. We truly believe that prevention is the best cure, and regular chiropractic care will be far less time consuming and expensive than trying to recover from pain or an injury after it's happened. If you feel you do not have enough time or money to take care of yourself, please contact us at 972-578-2225--we can help!  The last thing we want is for you to come to our chiropractic center in crisis. So please, we would like to encourage you to take your health very seriously.  As the old saying goes, if you don't have your health, you don't have anything.  Unfortunately, too many people don't discover how true that statement is until it is too late.