"Faith is taking the first step even when you don't see the whole staircase." ~ M.L.K. Jr.

New Client Intake Form

For your convenience and to save time, you may download, print, and fill out the intake form below. This will allow you more time to be as thorough as possible with the information you provide. Please bring the form with you to your first appointment. It is also recommended that your review our office policies. 

Client Intake Form (pdf)

Download

Office Policies

 Payment is due at the time services are rendered unless other arrangements have been made. The following information describes how we handle our insurance filing.

  •  Payment is made to this office at the time of service. In turn, we will bill Medicare, or any other insurance for you.  In most cases, we will accept assignment from Blue Cross Blue Shield which will allow them to pay us directly.
  • With the exception of Blue Cross Blue Shield, Medicare and other insurance companies will reimburse you directly for the money you pay us for services. We cannot guarantee that you will be 100% reimbursed. Your insurance reimbursement will depend upon the nature of your policy. The actual insurance contract is between you, as a patient, and your insurance carrier. Your insurance carrier will make the final determination regarding how your claims are paid. If you disagree with their determination, you only have a limited time to file an appeal with them.
  • In some cases, Medicare will automatically file your secondary or supplemental insurance claim for you. This will be indicated on your Medicare Summary Notice you receive with your check when they reimburse you. If they have not done so, you must file a copy of this notice and a copy of your bill with your secondary insurance.

In an effort to treat your condition and maintain good health, our care plans may exceed what your insurance carrier will cover. Typically, anything over 12 visits or extending beyond 90 days without a new injury may be subject to review. Please be aware that most plans do not cover what is referred to as maintenance care or preventative care. 

Contact Us

Appointment Request

Better yet, see us in person!

We love our customers, so feel free to visit during normal business hours.

Nature's Way Chiropractic

540 Hughes Road, Suite 9, Madison, AL 35758, us

(256) 464-0522
natureswaychiro@knology.net

Hours

Monday - Thursday

10am - 1pm

3pm - 6pm