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Before you send your request:

The insurance verification form below is primarily for those who would like to receive chiropractic care and prescribed personal training from Dr. Armstrong. If you have PPO insurance coverage or an HMO with Aetna, Cigna or United Health, you may also use the form to verify coverage with Dr. Armstrong. Once your insurance has been verified, you will need to schedule an appointment to create a treatment plan and to ascertain whether your physical complaint can be covered by your insurance.

 If you have an HMO and your coverage is not with a carrier listed above, you may still be able to get your medically related therapy/personal training covered through your insurance. Your doctor may refer you to a chiropractor or physical therapist, within your network, who may be able to prescribe personal training. If your insurance does not cover prescribed personal training you may alternatively be able to claim your out of pocket expenses through your Health Spending Account. For more information consult your insurance provider.

First Name
Last Name
Company Name
Daytime Phone() -
Evening Phone() -
E-mail Address
Insurance Main Beneficiary
Birth Date
Insurance Company Name
Insurance phone #
Insurance ID#
Insurance Group #
Comments
Please consult with your doctor before embarking on any fitness or nutrition regimen!
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