Multiple Affiliate Locations Across Arizona

Hours Vary Per Location

Attorney Portal

Client Referral

Do you have a client in need of Chiropractic or Urgent Medical care?

Refer a new patient to us

You have come to the right place! Fill out the form below and we’ll get your client taken care of. If you still need assistance, please contact us at 602-446-2834.

Optional first step

Find the closest location

Type your client’s home or work address, or a ZIP code. We’ll show the nearest of our 33 chiropractic and medical locations; your pick is sent with the referral below.

29 chiropractic and 8 medical locations.

Referring Party Info
Patient Info
Additional Info
PDF, Word or image (JPG, PNG) · up to 10 MB

The file is sent with the form. You can also email documents to drmike@collisionchiro.com.

Required

Office desk with navy case files, a pen on a notebook, a laptop and a cup of coffee