Patient Resources.PNG

PATIENT FORMS

New Patient Registration Information – All Patients

Patient Information Form – All Patients

Health History Form – All Patients

Chiropractic Waivers Form – Chiropractic Patients

INSURANCE / BILLING INFORMATION

Dr. Pete's Chiropractic is out of network with all insurance providers. If you have questions about your insurance eligibility or benefits, please contact your insurance provider. We offer affordable cash rates and can provide you with a superbill to submit the claims to your insurance carrier.  Payment is expected at the time of service.

Colorado is a Direct-Access state, which means you do not have to have a prescription to make an appointment for Physical Therapy (except for Medicare and Worker’s Comp insurances). Check with your insurance to see if a referral is required for coverage. We also offer self-pay rates and discounts in the form of visit packages for those whose insurance benefits have run out or have insurance that we are not contracted with at this time.