The Columbia City Chiropractor to see - Chiropractor Columbia City

Online Paperwork

Online paperwork

We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use in our office.

  • If you have not been in an auto accident or a work related injury you will just need to complete and submit the online Patient Intake Form. 
  • If you your insurance carrier is Cigna or United Healthcare, you will need to download the appropriate form along with submitting your Patient Intake Form.
  • If you have been in an auto accident or hurt on the job download the appropriate form along with submitting the Patient Intake Form.

Patient Intake Form

Click Here to Fill Out and Submit Form

Automobile Accident

 Download & Print Form

Worker’s Compensation

 Download & Print Form

Cigna Insurance Intake Form

 Download & Print Form

United Healthcare Intake Form

 Download & Print Form

Ideal Protein

Ideal Protein Health Profile

Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.



Drs. Jamie and Lori Kirgis, 695 N Opportunity Dr, Columbia City, IN | (260) 244-3665
Search:

Subscribe to our Columbia City chiropractic newsletter Free Newsletter

Receive free professional health tips on topics that interest you.
 
 
Select Topics:
Backaches & Sciatica
Headaches & Neck Pain
Wellness Topics
Diet & Nutrition
Exercise & Fitness
Women's Health Issues
Children's Health Issues
Stress Management

Drs. Jamie and Lori Asks some important questions of interest to Columbia City residents - Chiropractor Columbia City Drs. Jamie and Lori Asks...

How come medical doctors don't recommend chiropractic?
That's changing. Years of prejudice and bias are giving way to research showing the benefits of chiropractic care. As more and more Columbia City folks seek alternatives to drugs and surgery, more and more medical practitioners are referring their patients to chiropractors.
What's a side effect?
It may sound like a bonus; something extra, but chiropractors know it should more accurately called an "unintended effect," and "unwanted effect" or in some cases an "adverse effect." A pill can't come close to matching your body's ability to create and deliver the essential compounds it needs. That's when it's important to make sure your nervous system is working correctly—the purpose of chiropractic care!