On this page you can find our intake forms and privacy policy. If you need more information, don’t hesitate to contact our Office Manager at 202-244-4444.

Your First Visit

Prior to meeting with the Chiropractor, you will be asked to complete a Patient Intake Form. Using this form as a guide, you and the Chiropractor will discuss your health history in detail. This will be followed by a full physical examination. Your Chiropractor will then decide if further testing, such as x-rays or blood work, is required. You will then be presented with a report of findings, outlining your specific problem, treatment options and prognosis. Questions are always welcome. Your first visit includes time to initiate treatment if you decide chiropractic care is right for you. At the close of the visit, you will be given a few specific instructions to help make achieving your goal easier.

Please note that new patient appointments should be scheduled in advance. Same day appointments are sometimes available but not assured.

Intake Forms

New Patient Form

  1. Patient Intake Form

Financial Policy

  1. Financial Policy: Regular Patient

HIPPA Privacy Act

  1. HIPPA Privacy Act of 2003
  2. Privacy Act Acceptance

Insurance

Mirando Chiropractic Center does not participate with any insurance companies. However, we will help you determine your out-of-network Chiropractic benefits. We do accept Medicare.

For more information about our insurance policy, visit our On Insurance page or contact our office at 202-244-4444.