New Patient Care Center
Pure Wellness

 

Chiropractic, Acupuncture, and Massage Therapy

We understand that arriving at your doctor’s office for the first time can be nerve-racking. Filling out paperwork, learning new faces and names, and getting to know your way around the office can be an overwhelming experience.
At Pure Wellness, we take the hassle out of your first visit by giving you a way to take care of all the necessary paperwork and learn about the office ahead of time. Just click on the links below to fill out forms online, learn what to expect at the office, take a virtual tour, or find out about payment options.

What to Expect for Your First Visit?

Online Forms

Pure Wellness offers our patient form(s) online so they can be completed in the convenience of your own home or office.

Printable Forms

  • If you do not already have AdobeReader® installed on your computer, click here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

Motor Vehicle Accidents/Workers Compensation/Personal Injury

*If you were in an automobile accident or injured at work, please print and fill out these additional forms below:

Children

New Patient Forms are REQUIRED for child(ren) under the age of 18 years old:

Acupuncture New Patients

New Patients Forms are REQUIRED for all new Acupuncture patients:

Payment Options

Pure Wellness believes in the value of wellness care for you and your family and have maintained a pricing structure that allows care for all budgets. Our office participates in most insurance programs. We also accept auto accident and workers compensation cases. For patients who have little or no chiropractic insurance coverage, flexible payment programs can be arranged. To learn more about our payment options for chiropractic and wellness care, you can call our office directly.

Insurance

Most insurance plans are accepted at our office. We accept auto accident, workers compensation, personal injury and most health insurance plans, including Medicare and Medicaid. Since there are so many plans and coverage varies widely, please call us to find out if your plan covers care in our office. Our staff will verify and explain your benefits before treatment, at no charge.

  • AETNA
  • Alliance
  • AmeriHealth
  • Blue Cross/Blue Shield
  • CIGNA – HMO
  • Keystone
  • Mamsi
  • Medicare
  • Medicaid
  • Optimum Choice
  • United Healthcare -HMO

If you do not have insurance or chiropractic benefits, there is still a way for you to receive the care you need. The ChiroHealthUSA program provides discounts on many of your chiropractic expenses. The program may be used by you and members of your immediate family. While this program is not insurance, it may be used to cover expenses not covered by a major medical health insurance policy. Learn more about ChiroHealthUSA here (https://www.chirohealthusa.com/patients/) or choose your location to sign up:

Health on a Budget

At Pure Wellness we’re convinced that a small amount of your time and money to care for your most important asset–your health–will be far less time consuming and expensive than trying to recover it. If you feel you do not have enough time or money to take care of yourself, please contact us–we can help! The last thing we want is for you to come to our wellness center in crisis. So please, we would like to encourage you to take your health very seriously. As the old saying goes, if you don’t have your health, you don’t have anything. Unfortunately, too many people don’t discover how true that statement is until it is too late.

Thank you, for trusting Pure Wellness with your care!