Welcome to Frontier Chiropractic!
We are excited to meet you! For your first visit please bring the following with you:
1. Picture ID
2. Copy of your insurance card
a. let us know about your insurance before your appointment by filling in your card information here.
3. Filled out patient forms
a. New Patient intake online form
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Crash or Collision?
Are you at fault for the crash or collision?
Yes I’m at Fault:
What we will need from YOU:
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Your auto insurance policy information and filed claim number for the date of accident.
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Tell us how the accident happened
I’m not at Fault:
What we will need from YOU:
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YOUR auto insurance policy information and filed claim number for the date of accident. (Yes, even though you are not at fault for this accident we will still file claims to YOUR auto policy, we do not bill out to a third-party payee at this clinic.)
Please fill out:
-All of the above info and then the -Auto claim information form
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Do you have Med Pay on your auto policy?
You may pay a premium on your auto policy which includes covered cost for medical expenses in case of an accident. Asking your insurance carrier this question can let you know how much of your visit here will be covered.
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What if I do not have Med Pay?
In the instance you do not have med pay on your policy, you were not at fault and you seek reimbursement from a third party payee you may request we file claims to your health insurance carrier. You will be responsible for following your plans benefits and meeting any deductible or copayments. Please have your auto insurance notify us that there is no Med pay on your policy by faxing it to us at 907-274-2220.
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Work Injury?
Have you reported an injury with your work?
Please bring a copy of the injury report you filled out with your employer. If you have questions, please give us a call!
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