Sunnyvale Chiropractic 50th Anniversary
481 S. Murphy Ave.
Sunnyvale, CA 94086
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Phone: (408) 736-7777
Fax: (408) 736-0700
info@SunnyvaleChiropractic.com


Forms


GIF (118K) | PDF (210K) ]

GIF (142K) | PDF (206K) ]

GIF (172K) | PDF (272K) ]
Please fill these two forms if you are paying by cash or don't have managed care plans for coverage. Please fill this form if you have chiropractic coverage thru American Specialty Health Plan.

GIF (32K) | PDF (81K) ]

GIF (22K) | PDF (36K) ]
Supportive Care:
Please fill this supportive care form to help us keep track of your progress.
Designation of Personal Chiropractor:
Complete this form and give it to your HR staff at work. If you ever get injured on the job you'll be able come to Dr. Snider right away. Without this form your employer or the work. comp. insurance company might try to limit your access to treatment by saying they "control medical care for the first 30 days" (even this rule is not entirely true). As most people know, the sooner you begin your care, the faster you heal. The ability to be checked right after an injury is very crucial to a good recovery.
Not sure? Just call the office at (408) 736-7777 for direction on which form to complete.


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