Financial Policy

In the interest of good health care practice, it is desirable to establish a policy to avoid misunderstandings. Our primary responsibility is to help patients experience good health and we wish to spend our time and energy towards that end. Therefore, I would like you to know about our financial policy:

• Payment is due and payable at the time of your visit, unless satisfactory arrangements have been made in advance.
• We accept only cash or check (for patients who have a co-pay, co-insurance,
deductible and cash paying patients).

PLEASE NOTE: There is a $25 fee for all checks returned due to Insufficient Funds.

I understand this Financial Policy and agree to abide by these conditions.

Signature

Date

Please do not submit any Protected Health Information (PHI).

DC Chiropractic Center

Address

1765 State St a,
Salem, OR 97301

Phone

(503) 585-2585

View Directions

Monday

9:00 am - 6:00 pm

Tuesday

9:00 am - 4:00 pm

Wednesday

9:00 am - 6:00 pm

Thursday

9:00 am - 4:00 pm

Friday

9:00 am - 6:00 pm

Saturday

Closed

Sunday

Closed

We look forward to hearing from you

Please do not submit any Protected Health Information (PHI).