Greco Family Chiropractic is a proud provider for:
 Personal Choice & Personal Choice 65
Keystone HMO & POS, Keystone 65, Keystone Mercy
Highmark Blue Cross Blue Shield 
Aetna HMO, QPOS & POS 
Medicare & Aetna Medicare
Cigna, United Healthcare
Golden Rule, and many more!

To further save you time in our office, please bring completed forms to your first visit.  

Our state-of-the-art insurance department will verify your benefits coverage, request referrals, (or advise you, if request is required by patient), process precertifications, and submit claims. We have many years of experience, and 
it is our pleasure to take the "headache" out of this process! 

(Just click on the links below to display each form, and then print.) 


Initial Health Status Form

Pain Survey

Patient Health Information Consent Form

Financial Policy

  
The forms are formatted in Adobe Acrobat.  In order to view them you will need Adobe Acrobat Reader installed on your computer. If you do not have Adobe Acrobat Reader you can click here to download it FREE.