New Patient Forms

Dear New Patient, Thank you for choosing Chester Family Chiropractic Center. It is our every desire to provide you with excellent and timely service. The following guidelines were designed to facilitate this process. On the day of your Appointment Please complete patient intake forms by clicking below. A map with directions you can also download below.

• Please arrive 15-20 minutes prior to your scheduled appointment time.
• This will allow us to complete the registration process in a timely manner.
• Please bring your current insurance card to every appointment.
• If your insurance requires prior authorization/referral, we will need to have this on file before you can be seen.
• If you arrive for your appointment and we cannot verify your insurance coverage or authorization, you may pay in full at the time of the visit or reschedule your appointment.
• Be prepared to pay your co-payment at every visit. 
• For your convenience our office accepts checks, cash, and all major credit cards.

** PLEASE NOTE:  The Intake Form will need to be filled out prior to your appointment

To help you to your first visit, we have provided driving directions for you.