Please use the following link to print and fill out our new patient paperwork. If you have any questions about any of the forms, don't hesitate call us at 830.620.0959 or email us at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . 

Please use the following links to print and fill out our insurance coverage and patient health history forms. The forms are in the PDF format; in order to view them you will need a PDF viewer such as Adobe Reader. If you do not have Adobe Reader you can click the following button to download it FREE.

Release of Medical Records

INSURANCE
We attempt to take out as much of the "insurance hassle" as possible for you. We will work to verify coverage and file your insurance claims if you choose.  Please remember, however, that the benefits quoted to us by your insurance company are not a guarantee of payment.

We currently accept the following insurances:

Blue Cross Blue Shield

United Health Care

Medicare

Cigna

MHBP

If you have questions about coverage for your insurance plan, please don’t hesitate to ask. 

PATIENTS WITHOUT INSURANCE
An increasing number of patients do not have insurance, or have plans with limited coverage.  Therefore, we offer a time of service discount to patients who are paying out of pocket at the time of their appointment. 

MEDICARE
We do accept assignment from Medicare, and we will file your Medicare claim for you as well as any supplemental insurance you may have. Please note that Medicare ONLY covers manual manipulation of the spine. Medicare pays 80% of the allowable fee once the deductible has been met. Please let us know if you have any questions about your Medicare or secondary insurance.

AUTOMOBILE ACCIDENTS
We do file auto accident claims, however, we must be informed prior to your appointment if you intend to file a claim with your auto insurance.  Please notify your auto insurance carrier of your visit to our office immediately. Notify our insurance department immediately if an attorney is representing you. Although you are ultimately responsible for your bill, we will wait for settlement of your claim for up to six months after your care is completed. Once the claim is settled or if you suspend or terminate care, any fees for services are due immediately.