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Patient Intake Forms & Insurance

New Patient

At Hands-On Health Care and Chiropractic, we now offer the new patient paperwork online so you can complete it in the convenience of your own home or office. Please complete all forms to the best of your ability. Once you complete the online paperwork, it will be sent directly to our office and imported into your new patient account.

ADULT PATIENT INTAKE FORM

Pediatric Intake Form

Personal Injury Patient Intake Form

Existing Patient

Re-Exam Form

Impairment Form

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First Visit

Upon your arrival, if you were unable to complete the paperwork online, then our front desk staff will provide you with the necessary forms to be completed. The paperwork provides us with detailed information about you and your condition(s).

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Examination

In order to determine what your actual problem is, the doctor will ask you various questions related to your condition. Next, a number of specialized tests will be performed to determine which tissues are affected and to what extent.

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X-ray Studies

Your specific condition may require us to take x-rays to either rule out more serious conditions or assist us in developing the most effective treatment plan for you.

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Consultation

After Examination and X-rays have been completed, you will then have a consultation with the doctor to discuss your health-related problems, concerns, as well as potential treatment options. At this time, the doctor will determine if the patient is able to have spinal adjustments, physical therapies, and/or soft tissue therapies during the initial visit.

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Home Instructions

Prior to leaving, patients will be given instructions on certain exercises and/or activities to be conducted at home. This may include ice or heat application instructions, avoidance of certain activities or positions, as well as home exercises and/or stretches.

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Schedule Your Next Appointment

You will be given a convenient appointment time for your follow-up visit. Generally speaking, patients are seen within 1-2 days and are provided with a complete review of findings. During this visit, the doctor will discuss the treatment options that he has complied for you.

Insurance Companies

List of Accepted Insurances

Aetna โ€“ Medicare Replacement Plans Only

Ambetter by Sunshine – Commercial and Medicaid Plans

AvMed

BayCare Plus

Blue Cross Blue Shieldย 

CarePlus

Careworks

Centivo

Cigna

Corvel

Coventry

FCCI

Florida Blue

Florida Health Solutions

Freedom

GEHA

Genex

Golden Rule โ€“ United Health Care

Health Network One

Health Smart

HomeLink

Humana – Commercial and Medicare Plans

Med Risk

Medicaid of Florida

Medicare of Florida

Molina Healthcare

Neighborhood Health Plan โ€“ United Health Care

Optimum

Optum โ€“ United Health Care

Oscar

Paradigm

Providence Health Plan

Sedgwick

Simply Healthcare Plan – Medicare and Medicaid

SP NET

Summit

Sunshine Health Medicaid Plans

Truli for Health โ€“ Florida Blue

Ultimate Health Plan ย 

United Health Care – Commercial and Medicare Plans

US Dept of Labor โ€“ Offices of Workerโ€™s Comp ย 

WellCare by Sunshine Health

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