HOW TO USE
We are honored that you selected Schubbe Resch Chiropractic and PT Center for your care. Our Doctors and Physical Therapists will use your health information when assessing your condition. Print and complete forms as needed. Thank you for your cooperation.
In addition to completing the necessary forms, please bring your insurance cards with you. We will make copies of all insurance cards for your file.
Call 920-738-0200 (Appleton) or 920-720-0660 (Neenah) for an appointment or with any questions you may have.
NEENAH OFFICE
If you are a new patient and will be coming to our Neenah location for the first time, print and complete:
APPLETON OFFICE
If you are a new patient and will be coming to our Appleton office for the first time, print and complete:
If you have been a patient to the Appleton location in the past and it has been greater than 6 months since we have seen you, print and complete:
If you are seeking relief from injuries sustained from an automobile accident, print and complete:
If you are seeking relief from an injury that occurred while working, please print and complete:
Completing the above forms will ensure we have the most up-to-date information for processing claims to your insurance. Thank you for your cooperation.
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