Back & neck chiropractic wellness center

248-524-9100

  • Home
  • Red Light Therapy
  • Services
    • Activator Method
    • Impulse Adjusting
    • Disc Herniation Treatment
    • Massage Therapy
    • Red Light Therapy
  • New Patients
    • Schedule An Appointment
    • Testimonials
    • Your First Visit
    • New Patient Forms
  • Meet Us
  • Shop
  • Contact Us
  • More
    • Home
    • Red Light Therapy
    • Services
      • Activator Method
      • Impulse Adjusting
      • Disc Herniation Treatment
      • Massage Therapy
      • Red Light Therapy
    • New Patients
      • Schedule An Appointment
      • Testimonials
      • Your First Visit
      • New Patient Forms
    • Meet Us
    • Shop
    • Contact Us
Back & neck chiropractic wellness center

248-524-9100

  • Home
  • Red Light Therapy
  • Services
    • Activator Method
    • Impulse Adjusting
    • Disc Herniation Treatment
    • Massage Therapy
    • Red Light Therapy
  • New Patients
    • Schedule An Appointment
    • Testimonials
    • Your First Visit
    • New Patient Forms
  • Meet Us
  • Shop
  • Contact Us

New Patient Forms

In order to better serve you, please complete all of the new patient paperwork forms below prior to your scheduled appointment. This will not only save you time on having to complete paperwork in the office but will give our team a more efficient method of ensuring you have a seamless experience.

Good Faith Estimate

You have the right to receive a "Good Faith Estimate" explaining how much your medical care will cost Under the law, health care providers need to give patients who don't have insurance or who are not using insurance an estimate of the bill for medical items and services.   

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.  
  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.  
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.  
  • Make sure to save a copy or picture of your Good Faith Estimate.    

For questions or more information about your right to a Good Faith Estimate, visit https://www.cms.gov/nosurprises.

READY TO BOOK YOUR APPOINTMENT?

Schedule An Appointment

Contact Us

Discover The Back & Neck Wellness Center Difference

Our practice is located on E. Wattles Rd. just west of John R. Rd. in the Infinity Square Plaza.


If you have any questions or trouble finding our practice, please don't hesitate to give us a call. We look forward to welcoming you into our care.

www.drnoomie.com

1977 East Wattles Road, Troy, Michigan 48085, United States

248-524-9100

Office Hours

Monday: 9:30am - 12:00pm & 2:30pm - 6:30pm

Tuesday: 3:00pm - 6:00pm

Wednesday: 9:30am - 12pm & 2:30pm -6:30pm

Thursday: Closed

Friday: 8:00am - 1:00pm

Saturday: Closed

Sunday:  Closed

Client Form

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Back & Neck Chiropractic Wellness Center 1977 E. Wattles Troy, Michigan 48085 

Phone: (248) 524-9100  Email: sue@drnoomie.com 

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