Welcome to Genesis Chiropractic Center!

These forms (pdf files) will help you get started.

All patients

Insurance Information

Patient Information

Infant Patient Information

Confidential Patient Case History

Patient's with GreatWest, Oxford, or UnitedHealthcare insurance

ACN Back Index

ACN Neck Index

Patient's with Aetna, BlueCross BlueShield, Cigna, or Medicare insurance

Neck and Back Disability Form

Our HIPAA Notice