<!-- wp:pdfemb/pdf-embedder-viewer {"pdfID":222,"url":"http://kautzchiro.journeysoup.com/wp-content/uploads/2019/02/IntakeFormPDF-2.pdf"} -->
<p></p>
<!-- /wp:pdfemb/pdf-embedder-viewer --><p><strong>After scheduling your new patient appointment, please print off the paperwork below, fill it out entirely</strong><br /><strong>and bring it to your first appointment along with your insurance card. </strong></p>
<p><strong>We are currently enrolled in most major health insurance companies including Blue Cross Blue Shield</strong><br /><strong>PPO, United Health Care and Medicare. Please call our office to verify the coverage of your insurance at</strong><br /><strong>563-289-3242.</strong></p>