Insurance, Forms, and Payment Options

Accepted Insurance

Pacific Spine & Rehab participates with auto-related insurance. We do not participate with most commercial health insurance plans (PPO, HMO, Medicare, Medi-Cal, TRICARE).

This is a deliberate choice. Insurance restrictions on chiropractic care often dictate short visits and limited treatment options, which we have found does not produce the outcomes we want for our patients. Self-pay and lien-based care give us the room to treat properly.

• First-Party Auto Insurance (MedPay) — accepted
• Third-Party Personal Injury (PI) — accepted on lien
• Commercial health plans (PPO/HMO/Medicare/TRICARE) — not currently in network
• Self-pay with $49 New Patient Special and transparent rates

New Patient Forms

After you book, we email a short intake form with a secure link. Completing it before your visit saves about 10 to 15 minutes in the office.

If you prefer to fill out paperwork in person, plan to arrive 15 minutes before your appointment time. The front desk will provide the same forms on a tablet.

• Patient information and emergency contact
• Health history and prior treatment
• Pain diagram and current symptoms
• Consent for evaluation and treatment
• HIPAA privacy notice acknowledgment
• For PI/MVA: claim number, adjuster, and attorney information

Intake Forms by Location

Save time on your first visit by completing the intake forms for the office you plan to visit. Choose your location below to access the correct forms.

Payment Options

We accept most common payment methods. Self-pay patients can use a card, ACH, HSA/FSA, or CareCredit, and we offer payment plans for longer care arrangements.

• Visa, MasterCard, American Express, Discover
• HSA and FSA cards
• Health Savings and Flexible Spending receipts on request
• CareCredit financing
• ACH / bank transfer
• In-house payment plans for treatment packages

Billing Questions

Our front desk handles billing directly — you do not go through a third-party billing service. For PI and MVA patients, billing goes to the relevant insurance carrier or attorney's office on lien, so you do not see a statement during active care.

If you have a question about a charge, a receipt, or how a payment was applied, call either office and we will resolve it on the spot.

What to Bring to Your First Visit

Bringing a few items helps the visit run faster and gives the doctor the full clinical picture.

• Government-issued ID
• Insurance card if you are using auto or PI coverage
• Claim number and adjuster contact for active claims
• Attorney contact if you have legal representation
• Any recent imaging (X-ray, MRI, CT) on disc, portal link, or phone
• List of current medications and supplements

Verify Your Benefits

If you have a PI or MVA claim and want to confirm coverage before you book, call either office with your claim number and adjuster contact. We will verify benefits and call you back within one business day.