Auto Accident Forms

Before Your First Visit:

Call your insurance company and file a claim.

You Will Need to Get the Following Information from Your Insurance Company. Please call us with this information before your scheduled appointment, so we can verify the information ahead of time to reduce your waiting time.

  1. Claim Number
  2. Insurance Adjuster's Name
  3. Insurance Adjuster's Phone Number
  4. How Much Medical Pay You Have

 

Items to Bring for First Office Visit:

  1. Driver's License or Georgia ID
  2. Above Information from Insurance Company
  3. Car Insurance Information of the Car You Were In During the Accident
  4. Accident Report (if you have one)
  5. Health Insurance Card
  6. X-rays (if you've had any taken since your accident)

Download & Print this form as well as the New Practice Member Paperwork from above:  Auto Accident form 

Because of the complexity of Automobile accident insurance and claims we have created a checklist of the things you need to bring with you:  Auto Accident Checklist 


Please do not hesitate to call us if you have any questions.

Advanced Chiropractic - Newnan, GA offers our patient form(s) online so they can be completed it in the convenience of your own home or office. 

  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.
  • To Open the PDF file you must have Acrobat® Reader®.