Personal Details *This question is required.
Children names and ages? (if relevant)
Dr Craig (30020809) Dr Luke and Dr Bryan (30047114) are BUPA registered.
Please ensure your account is linked to the correct provider code to avoid any further out of pocket administrative fees being incurred.
Unfortunately Dr Ami-Bree and Dr Samantha Kale are unable to accept BUPA clients at this time. In the event you wish to use your insurance, you will need to see an alternate practitioner.
To invoice BUPA UK directly on your behalf, we require the following information. We unfortunately cannot facilitate invoicing in this manner with a BUPA international or corporate account.
While BUPA may issue a code valid for (X) amount of sessions, it is our experience that this does not necessarily mean that they will cover the cost of that many sessions. Please clarify this with your insurer to avoid any potential financial shortpayments that you may not have been expecting. It may save you money to continue privately.
Please be advised that failure to provide all relevant information may result in additional out of pocket administrative fees being paid directly to Putney Chiropractic for setting up your account. This includes ensuring that your authorization code is linked to your practitioners provider code listed above.
You will also be required to sign a terms of business at your visit and provide details of a valid card to be processed in the event of any short payments from BUPA to Putney Chiropractic.
*This question is required.
Please inform us of your previous care where you can: