While most insurance companies have out-of-network benefits, they may vary in what and how much they choose to cover. It is your responsibility to check your plan and understand your benefits as submission is not a guarantee of full reimbursement, however most patients who have submitted their claims have had good success getting mostly reimbursed or having their costs applied to their deductible.

Get Claim Forms

Below are links to print out self-claim forms. After completing the form, simply mail it along with your printed receipt and superbill to the address they provide.



Kaiser Permanente

Life Wise

Bridge Span

Aetna - We will charge a documentation fee as their paper forms require excessive physician involvement to complete.

Integrity Chiropractic

11319 NE 120th St.

Kirkland, WA 98034