Casper Chiropractic
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Casper Chiropractic
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Patient Portal

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1/1/25 Notice:  Happy New Year! Please complete the 2025 Financial and Consent form below; in addition to the Check In Form. Let us know if your insurance, address, or payment information has changed.

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New Patient? Please click the link. Established Patient? Please use the links at the recommended interval. 

New Patients
Scheduling
Check IN (Each Visit)

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2025 Financial and Treatment Consent Form (Once per year)
2025 Acupuncture Consent Form (Once/year)
2025 Medicare ABN Form (Once/Year)

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2025 Athlete Consent Form

Are you happy with how you are being treated? Let others in Bloomington and Jasper know.

Also consider leaving a review on Google.  Not happy with how you are being treated? Leave some feedback. Constructive criticism is how we grow and improve!

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Bloomington Review
Jasper Review
Give Feedback

Outcome Assessment Tools

To track progress and to satisfy insurance guidelines, please complete the applicable form(s) below related to your primary and/or secondary complaint at your first visit of the month. Compliance may affect insurance coverage.

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NECK AND UPPER BACK (Once/month)
Mid to Low Back and Pelvis (once/month)
Upper Extremity (once/month)
Lower Extremity (once/month)

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 Prior to your appointment, please be sure to change into the appropriate apparel for your specific region of complaint(s).

  • Appropriate apparel
    • T-shirt for Upper Extremity, Neck, and Upper Back Complaints
    • Shorts and Bare Feet for Lower Back and Lower Extremity Complaints.
  • Restrooms are available for changing.

Locations in Bloomington and Jasper

Bloomington

Casper Chiropractic - Bloomington

340 S Walker Street Ste B, Bloomington, Indiana 47403, United States

Located inside of Hoosier Athletic Club. Free parking is available.

Hours

Today

By Appointment

Jasper

Active Chiropractic and Rehabilitation

209 3rd Avenue, Jasper, Indiana 47546, United States

812-301-2088.

Hours

Today

By Appointment

Copyright © 2025 Casper Chiropractic - All Rights Reserved.

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1/10/25 Update: We are operating as normal. Use your own judgement to determine if you would like to come in.  Just message us to reschedule if necessary. (Walker Street and our parking lot are a little snowy still.)


Happy New Year! Please take a moment prior to checking in to complete the appropriate forms for 2025. All patients need to complete the 2025 Financial and Consent Form. 


Medicare folks please also complete the 2025 ABN and select "Option 2". Thanks for your help keeping your record current. 

2025 Forms