My time with patients is treasured. I'd like for your experience here to be as relaxed and comfortable as possible. I find that when forms are completed ahead of time, the appointment goes more smoothly and I can focus more intently on easing you toward feeling better.
Please click the blue links to print these forms.
Bring your completed forms with you, along with your method of payment (and your insurance information if you wish for claims to be filed). If you are tech-savvy you may choose to email forms to the office at firstname.lastname@example.org
so that I may review them prior to your visit and save you some waiting.
If you are unable to bring completed forms with you to your visit, please arrive 20 minutes early to complete them in the office.
I look forward to seeing you!
Schedule online anytime:
Hands of Light Chiropractic
Dr. Boylan is an Out of Network Provider with all insurance companies. After payment is received, claims will be filed electronically so that you may be refunded by your insurance company according to your out of network benefits. Please call your insurance company's customer service number to verify your Out of Network Benefits using this form, and bring it with you if you wish for insurance to be filed.
How may I help you?
These forms will help us to get to know each other.
If you are using Insurance with
Out of Network Benefits:
FOR NEW PATIENTS AND UPDATE/OUCH APPOINTMENTS