PARTNER SET-UP

Thank you for submitting your application.

You are well on your way to joining over 5,000 Doctors who have made their practices more compliant and profitable with ChiroHealthUSA!

Now set up your

Merchant Account.

Your CHUSA application has been submitted. Now, click the button below to get your Cash Practice merchant account setup so you can accept donations.

Next Step

So what happens now?

An Onboarding Specialist will contact you via the preferred number you indicated to complete your application and prepare your provider agreement for signature.

To get the onboarding process started, the following steps must be completed. We will be in touch to help you every step of the way. You will also receive an e-mail with this information for your records.

1. Return Your Signed Application to Us.
Shortly, you will receive an email with a PDF version of your completed provider agreement for your review and electronic signature.
THIS AGREEMENT MUST BE SIGNED AND RETURNED BEFORE ANY FURTHER ACTION CAN BE TAKEN ON YOUR ACCOUNT.
You may either sign this electronically or print, sign, and fax it back to us.

2. Send Us Documents.
In the mean time, we ask that you FAX copies of the following documents to (888) 685-2220 or e-mail them to info@chirohealthusa.com.

Actual Fee Schedule (This may be printed from your software.)
Premise Insurance Declaration Page with current dates of coverage
Malpractice Declaration Page for all providers

3. Complete Training for Doctors and Staff.
Our training department will provide you with all of the knowledge and resources you need to make the most of what ChiroHealthUSA can offer your practice.

We are excited that you decided to take this step to grow your practice and provide more affordable care to your patients. If you have any questions, please do not hesitate to contact us at (888) 719-9990 Monday – Friday 8:00 AM – 4:30 PM Central Time or e-mail us at info@chirohealthusa.com.