Sliding Fee Discount Application
Kidzchiro Foundation is dedicated to providing chiropractic services children and the people who care for them.
Discounts are offered based on family size and annual income. Please complete the following information and we will determine if you qualify for a discount under the Kidzchiro Foundation program offered by this office.
The discount will apply to all services recommended for your child and your family but not supplements.
This form must be completed every quarter (or every 4 months) or if your financial situation changes.