New Patients

Hello,

Welcome to Results Chiropractic located in Carmel Valley San Diego. We are happy that you are here, and would like to come for your consultation with Dr. Mashike. In order to make your appointment as simple and fast as possible here are three forms that you can download, print, and fill out before you come to the office. That way when you get here there will be no paperwork, and only healing.

Thank you and please let us know if you have any questions, and/or need any help.

The Results Team. 🙂

 

New Patient Forms

*Tip – if you want to save them to your computer then right click the link, and select “Save Target As” or “Save Link As” to download them. Then just choose where you want them saved.

New Patient Packet

For Personal Injury Patients:

New PI Patient Packet (For Personal Injury Patients Only)

Insurance Information

If you would like us to check your insurance benefits ahead of time, please email the following information:

1) First name and last name of person to be seen (patient)

2) The member / subscriber ID number on the insurance card

3) The date of birth for the patient

4) Your phone number that is associated with your insurance, ie, what number would the insurance company call to reach you;

5) Your phone number to call you back;

6) The phone number for the insurance company for us to call to get your benefits – usually a toll free number after the word ‘providers’.

Email this information to Salud@drmashike.com and we should have your insurance information available upon arrival for your first appointment.

We look forward to helping you!