Chiropractic care is covered under many insurance plans.  As a courtesy to you we will submit your claims directly to your insurance
carrier.   In order for us to properly verify benefits and/or submit to your insurance, we will need specific information from you which is
listed on our
Benefits Assessment  form.    Please fill out the form in its entirety so that there will not be any delays in the claim processing
procedure.

Our recommendations are based on a desire to see you get well and stay well.  Regardless of your coverage, we’ll suggest the
chiropractic care we think you need.   If you do not have any insurance coverage, we gladly accept cash, checks, Master Card, and Visa.


Listed below are new patient forms.  Please complete them and bring them with you on your next visit, email to
patty@rivernorthchiro.com,
or fax to Patty at (847) 515-4747.
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view the forms.  Please click
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New Patients
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