Chiropractor Resources

Please use the resources on this page to make the most of your EmpowerChiro membership. Please contact us if you need something not listed on this page.

Applications

EmpowerChiro Application

To become an EmpowerChiro Chiropractor, please contact us for an application.

Forms

Credentialing Forms

Address Update Form

Use this form to change, remove, or add a clinic address.

Additional Information Response Form

If you have had a disciplinary action, license issue, or malpractice issue, use this form to describe it.

Malpractice Insurance Certificate Holder Form

This form provides proof of malpractice insurance.

NPI Registry

Please visit the National Plan & Provider Enumeration System (NPPES) website to manage your individual or group NPI.

W-9 Form

Download the latest version of the W-9.

Work History Form

Use this form to provide work history to EmpowerChiro.

Recredentialing

Recredentialing Form

All EmpowerChiro chiropractors must submit recredentialing information every three years. EMPOWERChiro will send you a pre-populated form before the due date for you to return. Contact EmpowerChiro if you would like to request a form.

Health Plan Information

The below sections include links to help you with our Partner Plans.

Veteran Program

Claims Information

Learn the claims process for the Veteran Program.

Provider Handbook

Use this manual to get the most from the program.

Provider Training

This comprehensive training program teaches Chiropractors how to use the Veteran referral program.

Chiropractor Directories

Your EmpowerChiro membership includes your practice in the following chiropractor directories:

Provider Search

This directory allows potential patients to find your practice. View your details on this directory to make sure your information is accurate and up-to-date.