Please use the following link to print and fill out our insurance coverage and patient health history forms. The forms are formatted as PDFs. Adobe Acrobat will open and view them. You may need Adobe Reader installed on your computer.
If you would like to save some time in our office, please download these forms and fill out prior to your appointment. Or you can simply fill them out on your first visit, we just ask that you come 10 minutes before your appointment time.Patient Form
GROUP OR INDIVIDUAL INSURANCE
We attempt to take out as much of the "insurance hassle" as possible for you. We'll happily telephone your insurance company to verify your coverage benefits. Please remember, however, that the benefits quoted to us by your insurance company are not a guarantee of payment. We will file your claim and await payment for 90 days. If your company pays the benefits they quote to us, the only services you will be responsible for are any non-covered services, deductibles or co-pays. If you have any questions at all regarding you financial responsibilities at our office, please do not hesitate to ask. Our insurance clerk has years of experience and will be happy to assist you.
PATIENTS WITHOUT INSURANCE
An increasing number of patients do not have insurance, or have plans with limited coverage, such as catastrophic policies. We realize that no one wants to build up a large bill. Therefore, we have several plans so those patients may receive complete care without undue financial difficulty. Of course we are always happy to accept cash, your personal check, MasterCard, Visa or Discover cards.
"ON THE JOB" INJURY (Worker’s Compensation)
If you are injured on the job, your care should be paid for under your employer’s Worker’s Compensation insurance. You will need to inform your employer of the accident and obtain the name and address of the carrier of their insurance. If your employer does not provide us with this information, if a settlement has not been made within 3 months, or if you suspend or terminate care, any fees and services are due immediately.
PERSONAL INJURY OR AUTOMOBILE ACCIDENTS
Please notify your auto insurance carrier of your visit to our office immediately. Notify our insurance department immediately if an attorney is representing you. Although you are ultimately responsible for your bill, we will wait for settlement of your claim for up to six months after your care is completed. Once the claim is settled or if you suspend or terminate care, any fees for services are due immediately.
We do accept assignment from Medicare. The check is usually sent directly to our office in payment of the services that Medicare will cover, which for Chiropractors is ONLY manual manipulation of the spine. Medicare pays 80% of the allowable fee once the deductible has been met. You are required to pay the deductible and the remaining 20% as well as any non-covered services. Our office completes and files the forms for Medicare at no charge.
Please inform us of any secondary insurance you may have. We will assist you if you need help in filing.
As a Doctor of Chiropractic, Dr. Gregory Wilson believes in natural healing, including chiropractic treatments, rehabilitation, massage therapy, and nutritional supplements. Learn more about some of the treatments performed at this office.Decompression Therapy
Upon entering our office, our receptionist will welcome you as a member of our family. We will request that you complete our patient forms located in the New Patient Center. This paperwork provides us with your health history and information on your condition.
Next, you will have a consultation with Dr. Wilson to discuss your health-related problems, concerns, and potential treatment options. This initial visit is designed for the doctor to learn more about you, your condition, and expectations to determine how chiropractic care can meet your goals.
After your consultation, Dr. Wilson will perform a complete chiropractic examination testing your reflexes, flexibility and muscle strength to determine how he will best be able to help you. Other standard neurological, orthopedic, postural, and physical tests will be performed as well.
Depending on your specific condition, we may refer you to get X-rays on the area of complaint. X-rays help us develop the most effective treatment plan for you, and alert us of any serious spinal conditions. Most people are amazed once they see their X-rays up close. In some cases, they can even identify their misalignment and degeneration themselves.
Once the information is collected and examinations are performed, Dr. Wilson will give you a detailed report of all findings and answer any questions including:
How can you help me? How often do I need to come in? What will my treatment cost?
After reviewing your health history, goals, and examining your spine and X-rays, Dr. Wilson will discuss recommendations and notify you if your condition requires care with other providers. Dr. Wilson will provide the best treatment and wellness program for your needs.
At the conclusion of this initial appointment, you can choose to experience your first treatment. This may include spinal adjustments, physical therapy, decompression therapy, and/or soft tissue massage. Treatment is interactive, so you can express concerns about the different styles of treatment anytime.
Prior to you leaving, Dr. Wilson will suggest a wellness program to incorporate outside of treatment. If you are in pain when you first come into our office this may include: ice or heat application instructions, certain activities or positions to avoid, and at home exercises and/or stretches. If you desire, our wellness team will work with you also to create healthy habits and routines for your lifestyle. Every person is unique; therefore everyone requires a customized wellness plan. The purpose of our wellness program is for you to achieve good spinal alignment, have a healthy diet, exercise, and maintain a positive mental state