Skip to content

New Patient Paperwork

Hasse Family Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

Payment Options

At Hasse Family Chiropractic we strive to provide the exceptional chiropractic care. We are able to do this by working with all insurance companies. Currently Hasse Family Chiropractic is in network with Landmark, Cigna, Bright Health, Aetna, Blue Cross and Blue Shield, and United Healthcare and their group cooperative plans. If this is not your insurance there still could be chiropractic coverage under your plan. If you are not sure about your chiropractic coverage call your insurance member information on the back of your card. If you would like to opt out of billing your insurance specific time of service discounts will be provided. We also allow and accept payment at the time of service including HSA accounts, major credit cards, cash, and check options.

9:00am - 1:00pm
3:00pm - 6:00pm

9:00am - 1:00pm
3:00pm - 6:00pm

9:00am - 1:00pm
3:00pm - 6:00pm

9:00am - 1:00pm
3:00pm - 6:00pm

9:00am - 1:00pm


Chiropractic Lakewood CO Hasse Family Chiropractic

Hasse Family Chiropractic
710 Kipling Street Suite 401
Lakewood, CO 80215
(303) 304-1352

Scroll To Top