Insurance and Patient Forms
ACS Chiropractic
New Patient Information and Medical History Forms
At ACS Chiropractic in Terre Haute, IN, our mission is to help you maintain, improve, and restore your optimal health. We accept most insurance plans and offer convenient payment options. Same‑day cash payments qualify for a special discount—just ask our team for details. If you have any questions, feel free to call our office anytime.
ACS Chiropractic provides gentle, effective care for both adults and children throughout Terre Haute and Vigo County. We are always welcoming new patients! Contact us to schedule your free initial consultation.
Please complete the new patient and medical history forms and bring them with you to your first appointment to help us serve you more efficiently.
Participating Insurance Providers
We proudly participate with many major insurance plans, including:
- Blue Cross/Blue Shield
- Cigna
- Anthem
- Aetna
- Sagamore
- United Healthcare
- First Health Network
- UMR
- Medicare
- Medicaid
Accepted Payment Methods
We offer several easy ways to pay for your care:
- Visa
- MasterCard
- Discover
- Cash
- Personal Check
Reach out to ACS Chiropractic today for more information, to ask questions, or to schedule your appointment. Our friendly staff is here to help you feel your best.
