patient forms  Merriville, IN
At Back in Motion Sports & Chiropractic LLC, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax us your printed and completed forms or you may bring them during your visit.

Patient Intake Forms – Download & Print Form

If you do not have AdobeReader® installed on your computer, Click Here To Download.

Payment Options:
Visa
Mastercard
Amex
Discover

Insurances Accepted:
Aetna
Ambetter
Anthem
Blue Cross & Blue Shield
Cigna
Humana
Medicaid
Medicare