The Coral Springs Chiropractor to see - Chiropractor Coral Springs

Patient Information

For you convenience, Wasserman Chiropractic offers our patient forms online so you can complete them in the privacy of your own home, and keep your appointment waiting time to an absolute minimum. To follow are the essential forms we use and why we need them:


Patient History Form

This form provides us with an understanding of your medical history, and helps us to best-evaluate and treat the injuries you’ve sustained.

  Download & Print Form


Personal Injury Patient History Form

This form provides us with an understanding of your medical history, and additional information regarding injuries due to your accident.

  Download & Print Form


Insurance Plans

Wasserman Chiropractic is a participating provider with over 20 insurance plans.

  • All automobile insurance policies and workers compensation claims
  • Aetna
  • American Medical Security
  • Amerigroup
  • AVMED-HMO/PPO
  • BCBS – PCC.PPO
  • BCBS – Care Manager
  • BCBS – (Out-of-State)
  • Beech Street Network
  • Cigna - PPO
  • Coventry (formerly Vista) – POS/PPO/HMO
  • First Health
  • GHI
  • Greatwest
  • Health Plans of America
  • Humana - HMO/PPO/POS /Gold Plus/Classic
  • JM Family
  • Managed Care of America Network – PPO
  • Managed Physical Network of New York (MPN)
  • Medicare
  • Memorial Integrated Health Plan (PPO Only)
  • Millenium Network
  • Multiplan – PPO
  • Neighborhood Health – PPO
  • One Health Plan
  • Private Health Care Systems (PHCS) – PPO
  • Staywell
  • Total Claims Administrator (PPO)
  • Unicare
  • United Health Care – HMO/PPO/POS/EPO
  • Wellcare – HMO Medicare

Please contact our office if you do not see your plan listed above. Wasserman Chiropractic may be listed under a different network, and can verify your coverage. We also accept all auto insurance plans and workers compensation cases. Wasserman Chiropractic will gladly work with your attorney, and supply all the necessary paperwork for the completion of your case. We accept accident cases on Letters of Protection when signed by your legal council.


Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.



Dr. Andrew Wasserman, 10394 W Sample Rd, Coral Springs, Florida 33065 | (954) 755-1980