LivingWell Chiropractic Paperwork

We offer our paperwork on line so you can complete it in the convenience of your own home. 


Health History

This let’s us know what’s happened, but perhaps more important, where do you want to take your health? All patients are asked to fill out this form.

 Download & Print Form


Personal Injury

If your health issue is the result of a car accident or other non-work related accident, we need some additional information. ** Personal Injury patients need to fill out both the Health History form and the Personal Injury form.

 Download & Print Form


Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.

 


 

LivingWell Chiropractic Fee Schedule

LivingWell Chiropractic believes in the value of wellness care for you and your family and have maintained a pricing structure that allows care for all budgets. Our office will bill to your insurance company, however we are termed "Out of Network" providers. We also accept auto accident cases. For patients who have little or no chiropractic insurance coverage, flexible payment programs can be arranged. To learn more about our payment options for chiropractic and wellness care, you can call our office directly.

Insurance

Our office acitively bills to most insurance plans or programs. Some of the more well known plans are:

Aetna, United Health Care, Cigna, Blue/Blue Shield, RMSCO, Cigna, Health Net, Medicare . 

We also accept auto accident and personal injury cases (i.e. falls, etc.). 

Since there are so many plans and coverage varies widely, please call us to find out if your plan covers care in our office. Our staff will verify and explain your benefits, before treatment if you wish.

For plans that have co-pays or Deductibles, payment of that co-pay or deductible is expected at the time of service.

No Insurance

For patients who do not have any chiropractic insurance coverage or have high insurance deductibles (and do not wish to use their insurance) cash payment rates are available.

For those of you who have health savings accounts (HSA's) or flexible spending accounts, those can be used for Chiropractic services in our office.

In any case, we will do our best to find a way for you to receive the care you need. Many patients pay directly for care, as they discover chiropractic to be extremely cost-effective and affordable.

Family Plans

Our focus at LivingWell Chiropractic Center is to actively help you and your family in taking responsibility for your health, wellness, and disease management. We assist and guide you to take the time to care for the important people in your world: you and your family. 

In an effort to make living the wellness lifestyle as easy and affordable as possible, we can create a customized family plan that is specific to you and your family. Since children are such an important part of our practice we will make every effort to help your children recieve care.

Health on a Budget

At LivingWell Chiropractic  we're convinced that a small amount of your time and money to care for your most important asset--your health--will be far less time consuming and expensive than trying to recover it. If you feel you do not have enough time or money to take care of yourself, please contact us--we can help! 

The last thing we want is for you to come to our office in crisis. So please, we would like to encourage you to take your health very seriously.  As the old saying goes, if you don't have your health, you don't have anything.  Unfortunately, too many people don't discover how true that statement is until it is too late.




Dr. Frank Bongolan & Dr. Cynthia Fandrich, 425 El Pintado Road, Danville, California | 925-362-1722

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Living Well Asks some important questions of interest to Danville residents - Chiropractor Danville Living Well Asks...

How could chiropractic help a stomach problem?
Chiropractic works by locating and reducing areas of the spine compromising nerve communications between your brain and your body. If nerves to or from your stomach are irritated, your stomach won't work right. Chiropractors find the source of the interference, reduce it and allow your body to work as designed.
How long does it take to form a bone spur?
Many who begin chiropractic care think their problem happened "last week when you bent over funny." But pictures of the spine tell a different story. Chiropractors know it can take your body years to deposit the calcium necessary to form a bone spur. It's your body's response to stress due to gravity or joint malfunction. And chiropractic care can help.