470.588.0856 info@abcachiro.com
Logo Logo
  • Home
    • Mission
    • Leadership Directory
      • ABCA Past Presidents
    • ABCA History
    • Related Organizations
      • Chiropractic Colleges
      • State Associations
      • State Licensing Boards
      • African American Health Professional Organization
  • Member Center
    • MEMBER LOGIN
    • Member Benefits
    • Membership Categories
    • Partnerships
      • Chiropractic Pulse
      • WellReceived
    • Career Resources
  • About Chiropractic
    • What is Chiropractic?
    • Back Pain Facts & Statistics
    • Frequently Asked Questions
    • Chiropractic Research
  • Students
    • Scholarship Donation
    • SABCA Chapters
    • Harvey Lillard Scholarship
      • HARVEY LILLARD SCHOLARSHIP ENDOWMENT FUND
      • NCMIC Charitable Referral Program
    • Chiropractic Education
  • Events & Education
    • ABCA Meetings
    • ABCA National Convention
      • Convention Registration
      • Convention Hotel Information/Booking
      • Convention Agenda
    • National Convention Photo Gallery
      • 2023 National Convention
      • 2022 National Convention
      • 2021 National Convention
      • 2019 National Convention
      • 2018 National Convention
    • Become an ABCA Speaker
  • Advocacy
    • H.R. 539
    • S. 106
    • H.R. 8701
  • Contact
Logo Logo
  • Home
    • Mission
    • Leadership Directory
      • ABCA Past Presidents
    • ABCA History
    • Related Organizations
      • Chiropractic Colleges
      • State Associations
      • State Licensing Boards
      • African American Health Professional Organization
  • Member Center
    • MEMBER LOGIN
    • Member Benefits
    • Membership Categories
    • Membership Application
    • Partnerships
      • Chiropractic Pulse
      • WellReceived
    • Career Resources
  • About Chiropractic
    • What is Chiropractic?
    • Back Pain Facts & Statistics
    • Frequently Asked Questions
    • Chiropractic Research
  • Students
    • Scholarship Donation
    • SABCA Chapters
    • Harvey Lillard Scholarship
      • HARVEY LILLARD SCHOLARSHIP ENDOWMENT FUND
      • NCMIC Charitable Referral Program
    • Chiropractic Education
  • Events & Education
    • ABCA Meetings
    • ABCA National Convention
      • Convention Registration
      • Convention Hotel Information/Booking
      • Convention Agenda
    • National Convention Photo Gallery
      • 2023 National Convention
      • 2022 National Convention
      • 2021 National Convention
      • 2019 National Convention
      • 2018 National Convention
    • Become an ABCA Speaker
  • Advocacy
    • H.R. 539
    • S. 106
    • H.R. 8701
  • Contact

Reimbursement Request Form

  1. Home
  2. Reimbursement Request Form
Name(Required)
Address To Mail Reimbursement To(Required)
Do you utilize Zelle?(Required)
Would you prefer for your reimbursement to be distributed via Zelle?

Supporting Documents

Please upload all back up documents including invoices and/or receipts.
Max. file size: 32 MB.
Receipt or invoice.
Max. file size: 32 MB.
Receipt or invoice.

Policy
Privacy Refund Policy
American Black Chiropractic Association
P.O. Box 12663 Houston, TX 77217
  • +470.588.0856
  • +404-699-0988
  • info@abcachiro.com
Privacy and Refund Policy
Aerious By TBS-Coders