New Patient Registration Paperwork

Upon entering our chiropractic office we will have some brief paperwork for you to fill out. The paperwork provides us with general health information about yourself and your condition. You can also print the forms from this website (see below) and bring them into our office in Mexico, MO with you.

Consultation and Examination

Once the paperwork has been completed, Dr. Burle will ask you various questions related to your specific condition. Next, a number of specialized tests will be performed to diagnose your individual problem and to provide valuable information for Dr. Burle in determining the best chiropractic or other healthcare solution for you.

X-Ray Studies

Your specific condition may require us to take x-rays to either rule out more serious conditions or assist us in developing the most effective chiropractic treatment plan for you.

Same Day Treatment

Once finished with the examination and all appropriate studies, patients will generally be provided with their first chiropractic treatment during the same visit.

Payment and Insurance

Insurances we participate with are as follows: Aetna, Anthem Blue Cross and Blue Shield, Coventry, GHP, Healthlink, and Medicare. For other insurance companies we will give our patients a receipt to provide to your insurance carrier. We accept cash, check, Visa, Discover, Mastercard, Health Saving Accounts, and Flexible Spending Accounts.

New Patient Forms

To access our online patient registration forms you will need to use Adobe Acrobat Reader (free program), or other software which will enable you to open and view PDF documents.

New Patient Registration Form (PDF Download)