[vc_row type=”1″ margin_top=”-50″ padding_top=”50″ bg_color=”#ffffff”][vc_column width=”1/3″][vc_single_image image=”3942″ img_size=”326 Ã 500″ alignment=”center” css_animation=”fadeIn”][/vc_column][vc_column width=”2/3″][vc_column_text width=”1/1″ el_position=”first last”]
Dr. Steven Becker New Patient Paperwork
By filling out these forms, you not only save yourself a long wait in our office, but you will also allow Dr. Steven Becker stay on schedule. These forms help us to know your medical history as well as your current state of your health.
Our friendly staff is here to assist you any way we can.[/vc_column_text][vc_empty_space height=”16px”]
New Patient Forms
All forms are PDF files. You will need AdobeReader® to view them…
- If you don’t have AdobeReader® installed on your computer, Click Here.
- Download the necessary form(s) and fill in the required information.
- Fax us your completed form(s) or bring it with you to your appointment.
[/vc_column][/vc_row][vc_row type=”1″ padding_top=”50″ padding_bottom=”50″][vc_column el_position=”first last”][vc_row_inner][vc_column_inner width=”1/6″][/vc_column_inner][vc_column_inner width=”1/6″][vc_single_image image=”3953″ img_size=”200 x 200″ alignment=”center” style=”vc_box_outline_circle_2″ css_animation=”fadeIn” image_hovers=”false”][/vc_column_inner][vc_column_inner width=”1/6″][vc_single_image image=”3958″ img_size=”200 x 200″ alignment=”center” style=”vc_box_outline_circle_2″ css_animation=”fadeIn” image_hovers=”false”][/vc_column_inner][vc_column_inner width=”1/6″][vc_single_image image=”3955″ img_size=”200 x 200″ alignment=”center” style=”vc_box_outline_circle_2″ css_animation=”fadeIn” image_hovers=”false”][/vc_column_inner][vc_column_inner width=”1/6″][vc_single_image image=”3960″ img_size=”200 x 200″ alignment=”center” style=”vc_box_outline_circle_2″ css_animation=”fadeIn” image_hovers=”false”][/vc_column_inner][vc_column_inner width=”1/6″][/vc_column_inner][/vc_row_inner][vc_empty_space height=”16px”][vc_custom_heading text=”Dr. Steven Becker Office Policy” font_container=”tag:h2|font_size:32|text_align:center|color:%2308a8d8″ use_theme_fonts=”yes”][vc_column_text width=”1/1″ el_position=”first last”]Thank you for considering Dr. Steven Becker as your West Los Angeles chiropractor. My primary concern is for your health and we are committed to your treatment being successful. Please understand that payment of your bill is also considered a part of your treatment. Patients who carry any form of medical insurance should know that office services are charged directly to the patient and that the patient is responsible for payment.I am a very picky patient, but I am nothing but satisfied with Dr. Steven Becker. He is very personable and he remembers me and my pain each time I come in â Iâm not just another appointment.
-Anna C., Beverly Hills
As a West Los Angeles chiropractor, our office will supply an itemized statement to assist you in being reimbursed by your insurance company, however, we cannot render services on the assumption that our charges will be paid by any insurer. Your insurance policy is a contract only between you and your insurance company, and we are not a party to that contract. Please also be aware that some of the services we provide may  not be covered under certain health plans, or that your insurer may not consider them to be reasonable or necessary. We have found that most misunderstandings about insurance can be avoided if you understand what your policy provides.[/vc_column_text][/vc_column][/vc_row][vc_row type=”1″ margin_bottom=”-50″ padding_top=”50″ padding_bottom=”50″ bg_color=”#ffffff”][vc_column el_position=”first last”] Thank you for choosing us from the many West Los Angeles chiropractors. We look forward to working with you!Free Chiropractic Care Consultation

