New Patient Paperwork
Please fill out paperwork before your appointment,
or arrive 15 minutes prior to your appointment time to fill out in office

Insurance Billing

Not sure about your benefits? Use our quick questionnaire to learn

more about your benefits and coverage.

Your insurance policy is a contract between you and your insurance company. We cannot guarantee payment of your claims by your insurance company.

Please bring your current medical insurance card to every visit and notify us if there is a change in your insurance coverage. If your current insurance card is not on file, full payment for service will be collected at the time of service.

Cloud Chiropractic DOES NOT pre check benefits. We ask that patients check their benefits before their first appointment or when insurance has changed throughout the year. Please be aware of and provide any required prior authorizations needed in advance of your appointment. If you do not provide these before care is provided, you may be responsible for the cost of the care. When in doubt contact your plan directly for clarification.

    • Blue Cross Blue Shield / HMA
    • Lifewise
    • United Health Care
    • Aetna
    • First Choice Health 
  • We can bill ALL auto insurance companies as long as you have PIP (Personal Injury Protection)
  • We are unable to bill the following insurance companies
    • Kaiser (CHP)​
    • Molina/ Apple Health
    • Cigna 
  • We are able to bill as an "Out- Of- Network" providers for many others such as:
    • MODA,/ ODS (must hit out of network deductible) 
    • UMR
    • Providence
    • Heath Source
    • A &I

For those of you without chiropractic coverage we offer a time of service discount. Time of service discount only available if paid on date of service.

Time of Service Discount

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3400 SE 196th Ave

Suite 106 Camas, WA 98607

Tel: (503) 660-8154

Fax: (888) 316-1430



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© 2015 Cloud Chiropractic Clinic.