San Diego Chiropractor, San Diego Acupuncturist - Chan Chiropractic - Rancho Penasquitos

For Patients
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Check my Insurance

Let us help you check your insurance beforehand to verify eligibility and benefits for the services we offer. Let us make your visit run smoother and quicker. We will contact you with what we find. If you have any questions about your insurance, feel free to also give us a call, and we will help you as best as we can.

Your First Name:

Your Last Name:

Your Date of Birth:

Your Contact Phone Number:

Your Email Address:

Preferred Contact Method:

Name of Health Insurance:

The Policy Holder's Name (as printed on your insurance card):

Your Relation to Policy Holder:

The Policy Number:

The Group Number:

Your Claim Number (if you have one):

Your Adjuster's Name (if known):

Customer Service or Provider Phone Number as listed on your insurance card:

Services of Interest (e.g. acupuncture, chiropractic, massage, x-ray):