New Patient Information

For Patients

Providing San Diego with Complete Chiropractic Care & RehabilitativeTherapy

For PatientsPackage Title: Group Insurance
Package Desc: This package is for new patients with PPO insurance, SCMG HMO referral, Medicare, etc.

Group Insurance (PPO, SCMG, etc)

Package Title: Auto accident
Package Desc: This package is for patients that have been involved in an auto accident

Auto Accident Paperwork

Package Title: Workers Compensation
Package Desc:

Workers Compensation Paperwork

Workers Compensation Secondary Treater Paperwork

Package Title: ASHP or Private Pay
Package Desc:

ASHP Paperwork

Private Pay Paperwork

15817 Bernardo Center Dr. Suite 105
San Diego, CA 92127

** Please complete paperwork prior to appointment
** Please email paperwork to herringchiropracticrb@gmail.com
** Please arrive 10-15 minutes early to your appointment if paperwork is complete. If for any reason you can't complete your paperwork prior to your appointment, please arrive 30 minutes early.