City Lakes Chiropractic
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To request a combination Chiropractic /Massage appointment please complete the information below
Please complete the appointment information below and click the submit button when you are finished. Typically when Massage & Chiropractic are scheduled on the same day, you will see the massage therapist first unless otherwise requested. We will soon be expanding our massage hours!
If you have any questions, please call 612-722-2147 or email to appointments@citylakesclinic.com
First Name
Last Name
Request appointment for:
Chiropractic & Massage Therapy Appointment Request
If needed, Please contact at the following email address
Email Address
*if you have had an insurance change or no longer have insurance please provide us with your most current information at your visit. We have affordable self pay options available if you do not have insurance coverage
please double check your email is typed correctly
Day
Month
Date
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Additional notes or questions
Preferred Time
2nd Option
3rd Option
please note we try to schedule your appointment as close to your preferred tine as possible
Change in insurance*?
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Doctor:
Insurance Benefit Check
If you have new insurance since your last visit or have any questions regarding your current insurance coverage, you may click on the image below to complete the benefit check form.
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you will receive a response once we have contacted your insurance company,
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