Customized Health Care For Your Specific Needs!


Step #1: Contact Information
You are only responsible to pay for the first visit.  

Our exam is extensive and time consuming therefore we are charging you for the first visit. Rest assured once we close your case we will take out this amount from the total balance owed to us.

We will credit you:
1) As soon as we get paid from your insurance.
2) As soon as your lawyer sends us our full payment.

Full Name:
Email Address:
Phone Number:
Step #2: Billing Address
Street Address:
State / Province:
Zip Code / Postal Code:

Did you know?

Using a Doctor of Chiropractic as your primary care provider was found to, in a study published by the Journal of Manipulative and Physiological Therapeutics, result in a 43% decrease in hospital admission, 52% reduction in pharmaceutical costs and 43% fewer outpatient surgeries and procedures.

Step #3: Check Out
Credit Card Number:
CVC Code:
Expiry Month:
Expiry Year:
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Secure Payment

All orders are through a very secure network. Your credit card information is never stored in any way. We respect your privacy...
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