(301) 898-8005
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McLaughlin Family Chiropractic Logo

Chiropractor serving Frederick, Walkersville, and the surrounding area.

New Patient Forms

Filling out new patient forms.McLaughlin Family Chiropractic offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them...
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.
  • If you have filled out the forms electronically, you can email them to us:

New Patient Health Form
Right Click on link for download options.

Payment Options

Insurance and Financial Policies

Dr. Mimi is a participating provider with:

  • Carefirst/Blue Cross Blue Shield
  • Aetna Insurance
  • Medicare

Most insurance companies not listed here offer “out of network” benefits. We are happy to accept assignment and file all claims for you for those companies that will work with us. For those that will not, we will provide an itemized receipt for you to submit for reimbursement.

  1. Please remember that your insurance policy is a contract between you and your insurance company.
  2. Patients are responsible for paying any deductibles and/or copayments, which will vary from policy to policy.
  3. Some insurers limit the number of visits or have calendar-year maximums. It is your responsibility to know these limits; any amount not covered by insurance will be considered an out-of-pocket expense.
  4. We will attempt to accurately estimate your copayments. However, if there is a balance remaining, you will be billed for this difference. If there is a credit, you will be reimbursed or your account credited.

Automobile Accident Injuries

We will gladly work with your auto insurance company. As Maryland is a “no fault” state, medical bills incurred by you will be paid by your policy, regardless of whose fault the accident was. Your insurance company will, if necessary, get reimbursed by the other driver’s insurer.

  Office Hours

Monday, Wednesday, & Thursday
   9:00 a.m. – 12:30 p.m.
   3:00 p.m. – 6:30 p.m.

   4:00 p.m. – 6:00 p.m.
   Followed by workshop

Friday & Saturday
   By Appointment Only


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