new patient portal


 
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Below you'll find a number of forms, frequently asked questions and additional information to give you everything you need to make your visits as easy and stress-free as possible. We look forward to serving you!


What To Expect

On your first visit to Summit Chiropractic Center you will be given paperwork to fill out regarding your current complaint and past medical history. You can also find the paperwork below under “New Patient Forms” to print, fill out and bring with you instead. Please be sure to have your insurance card and photo ID with you as we will need to make a copy of it for your chart. You may wear loose fitting clothing for your comfort while being treated. You will be able to talk to Tilyr or Kelly before your treatment and get to know their philosophies and goals for your treatment. Your doctor will perform an exam to determine what the underlying factors of your condition may be, and will utilize her various techniques to tailor a treatment plan specifically for you.


Office information

The Summit Chiropractic Center is located at 69 Center Road in Essex, VT. You can reach us by email at info@summitchiropracticvt.com or by phone at (802) 662-1047.


INSURANCES ACCEPTED

Our providers are in-network with the following health insurance companies:

Blue Cross/Blue Shield

CBA Blue

Cigna

Green Mountain Care/Medicaid

Medicare

MVP

Aetna

For information concerning your plan’s specific coverage for chiropractic care, please contact your health insurance company or our office (802-662-1047) for assistance.


New Patient Forms

New patient paperwork can be found below. Feel free to print and fill out at home to save you time the day of the appointment!

Adult Intake Form

Pediatric Intake Form

Chirofutures Informed Consent

Financial Policy


OFFICE TOUR

Our office consists of the reception area and waiting room, three exam rooms, an x-ray room and meeting space. You can learn about our Covid-19 safety measures HERE.