New Patients:
Fruitport Chiropractic Center offers our patient forms online so they can be completed in the convenience of your own home or office prior to your first appointment.
- If you do not already have AdobeReader® installed on your computer, click here to download.
- Download the necessary form(s), print, and fill in the required information.
- Fax us your printed and completed form(s) to (231) 865-6212, or bring it with you to your appointment.
Fruitport Chiropractic Center's Patient Welcome Letter - Revised 2023
New Patient Paperwork - Required (Health Form, Financial Policy, & Cancellation Policy):
This lets us know the history and current state of your health. What questions, concerns, and goals regarding wellness can we help you with? Let us know!
Download the Free Adobe Reader®
Financial Policy:
Download & Print Financial Policy - Revised 2023
Insurance Types Accepted:
- Blue Cross Blue Shield
- Plus Blue BCBS Medicare
- Priority Health
- Priority Health Medicare
- Straight Medicare
*Please give us a call at (231) 865-6545 with any questions.
Cancellation Policy:
Here at Fruitport Chiropractic Center we have a 24 hour cancellation policy. Cancellations made with less than a 24 hour notice will be charged half the cost of the service. No call-no shows will be charged the full price of the service. We understand that emergencies happen, and sometimes a cancellation with less than 24 hours cannot be helped. As such, we will be understanding in those cases and allow for 1 missed appointment per year with no charge.
Download & Print Cancellation Policy - Revised 2023