Casper Chiropractic
  • Home
  • Patient Portal
  • Scheduling
  • Jasper
  • Bloomington
  • About
  • Covid-19 Policy
  • More
    • Home
    • Patient Portal
    • Scheduling
    • Jasper
    • Bloomington
    • About
    • Covid-19 Policy
Casper Chiropractic
  • Home
  • Patient Portal
  • Scheduling
  • Jasper
  • Bloomington
  • About
  • Covid-19 Policy

Patient Portal

Please utilize the following links at the interval in parenthesis to facilitate your visit.



✓

Check in (Each Visit)
Scheduling (as needed)
New Patient (1st Visit)

~

2022 Financial and Treatment Consent Form (Once per year)
2022 Acupuncture Consent Form (Once/year)
2022 Medicare ABN Form (Once/Year)

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

Also consider leaving a review on Google.


⋆⋆⋆⋆⋆

Bloomington Review
Jasper Review

Not happy with how you are being treated? Let us know. 

Constructive criticism is how we grow and improve.


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.


△

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

👕

 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.

Copyright © 2022 Casper Chiropractic - All Rights Reserved.