Insurance Information

Pray Chiropractic
5721 Battlefield Parkway
Ringgold, GA 30736
706-935-7729
tami@praychiro.com

 

Please fill in the information below and we will gladly verify the chiropractic coverage offered on your healthcare policy.

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Patient Name
Insurance Company
Policy Number
Group Number
Patient ID Number
Patient Date of Birth
Insurance Company Telephone Number
Patient telephone Number
Special Notes