Monday, December 11, 2017

Forms & Insurance

New Patient Forms

If possible, please complete a patient history profile prior to your first visit.  This will save you the time of having to fill them out in the waiting room. 

General Patient Forms

Personal Injury Claim Forms

Worker's Compensation Forms

 

Insurance Accepted

ChiroLife is happy to check insurance coverage and will handle all processing paperwork for you. We accept many different types of insurance, including Medicaid, Medicare and worker's compensation payments.  Please call or email with any questions on specific carriers we accept.

(440) 205-9910
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Chirolife

Chiropractic and Rehabilitation
Dr. Monda Waked
7257 Center Street
Mentor, Ohio 44060

P: (440) 205-9910
F: (440) 974-2400
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What others say

ChiroLife is the one and only doctor's office I can say I enjoy coming to. Not only have they helped to heal me, the team is FABULOUS! They are like family.  I will continue to come to maintain my health with these wonderful ladies!  I couldn't imagine life without them!
- Lorrie M.,  Painesville