(507)625-1085
Aurora Chiropractic 507-625-1085
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New Patient Forms

We utilize online intake forms which are located in the hyperlinks below.  Please complete prior to your appointment, or plan on arriving 20 minutes prior to your initial appointment to complete. 

Child Intake Form (Birth to 5 Years)

Adolescent Intake Form (6 Years - 15 Years)

​In addition to the Adult intake listed below; please also complete the Financial Agreement, HIPAA, and Consent. At this time the Adult Intake Form is not supported by Android mobile browsers.  

Adult Intake Form (16 Years +)   ​

Financial Agreement, HIPAA, and Consent

​______________________________________________________________________________________________

Please complete the acupuncture consent form below if you will be receiving acupuncture treatment from               Dr. Miranda in our office.

​Acupuncture Consent Form 

Insurance Information

 The doctors at Aurora Chiropractic are in network with the following insurance companies:
  • Blue Cross Blue Shield 
  • Medica
  • United Health Care
  • Health Partners
  • Preferred One
  • Medicare

We are not in network with Mayo Medica Health Plan or some Aetna plans. 

There may be others that qualify for coverage so please call our office if you have questions.  For coverage to be considered for insurance reimbursement it must be related to an acute musculoskeletal complaint.  Maintenance care is not covered by insurance companies.  

For pediatric and adolescent chiropractic care time-of-service discount rates are available. The majority of the cases we see in our office do not meet medical necessity requirements set by insurance companies. Complaints most commonly seen in our office include: colic, ear infections, gastrointestinal issues, sleeping and/or nursing difficulties, and care related to tongue and lip tie revisions. If treatment is sought out for a musculoskeletal reason (such as torticollis) then we can likely bill insurance. Certain insurance policies may also restrict pediatric care as well making reimbursement even more challenging. 

We would be happy to answer any specific questions related to insurance coverage at (507) 625-1085.
Online scheduling
Aurora Chiropractic, LLC
1051 Madison Avenue Ste 2, Mankato MN 
•  (507) 625-1085 

info@aurorachiropractic.org


Hours: Monday 8:00am - 5:00pm •Tuesday 8:00am - 5:00pm • Wednesday 8:00am - 4:00pm • Thursday 10:00 - 5:00pm • Friday 8:00am -1:00pm 
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