New Patients

Patient Intake & Insurance

Complete your new patient intake online — including insurance details — and we’ll verify your benefits before your first visit.

Save time at your first visit by completing your intake ahead of time — it takes about 10 minutes. Include your insurance details and our team will verify your exact benefits with your insurer before you arrive, so there are no surprises.

Insurance we accept

Forza Chiropractic is a Tier One preferred provider for BCBS, Aetna, and Medicare, and we also work with most major PPO plans:

  • Blue Cross Blue Shield PPO
  • Aetna PPO
  • Medicare
  • UnitedHealthcare PPO
  • Cigna / Evernorth PPO
  • Humana
  • Multiplan

Don’t see your plan? Call (847) 472-1224 and we’ll check it for you — our team verifies your exact benefits with your insurer before your first visit, and you’ll see exact pricing at your Report of Findings before any care begins. No referral is needed.

Paying without insurance? See how visiting a chiropractor without insurance works at Forza.

Secure online form

Takes about 10 minutes. Your information goes directly to our clinical team — including your insurance details, which we verify before your visit.

Questions First?

Not sure about something on the form?

Call us and a real member of our Arlington Heights team will walk you through it.

Call Text Request your Evaluation *Our team will reach out same day or within one business day to schedule your evaluation.
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