Download, print, and complete new patient intake forms here:
If you are experiencing low back issues, print and complete the low back assessment
If you are experiencing neck or upper back issues, print and complete the neck assessment
Please bring completed paperwork with you to your appointment or email it to firstname.lastname@example.org, or fax to (502) 423-0719
We are in-network with many insurance plans. Please check with your insurance to see if we are in-network provider or we will be happy to verify you plan.
For people with high deductibles or no coverage, we have very affordable self-pay plans to ensure you get the care you need.
Most major insurances accepted including Anthem, Aetna, UnitedHealthcare, Humana*, Medicare, Wellcare, Passport, & Caresource (Medicaid). *(not all plans)