Introduction Patient Case History

Functional Rating Index

History of Present Illness

Past, Family, and Social History

Review of Systems

Fridley Chiropractic is a contracted provider for the following insurances:

• Aetna
• Blue Cross Blue Shield
• Blue Choice
• United Health Care
• Healthlink
• Medicare
• Meritain
• Coventry
• Anthem

Accepted (Out of network)

• Cigna
• Humana
• PHCS

If you do not see your insurance or have a question concerning insurance, please call 636-332-1769