Smith Health and Wellness Clinic
  • Home
  • What we do
  • Weight Loss
  • The Doctors
  • Testimonials
  • Forms
  • Contact
  • Blog
Smith Health and Wellness Clinic
  • Home/
  • What we do/
  • Weight Loss/
  • The Doctors/
  • Testimonials/
  • Forms/
  • Contact/
  • Blog/
forms-photo.jpg
Smith Health and Wellness Clinic

Nutrition - Chiropractic - Rehabilitation

Forms

Smith Health and Wellness Clinic
  • Home/
  • What we do/
  • Weight Loss/
  • The Doctors/
  • Testimonials/
  • Forms/
  • Contact/
  • Blog/

Before filling out any forms please give our office a call 412-793-8900 to schedule an appointment.

**Open with Adobe Reader to fill out forms on the computer or forms can be printed.

Forms may be submitted to info@smithchiro.net or brought with you to your first appointment.

Insurance Accepted

  • Aetna

  • Blue Cross/Blue Shield

  • UPMC/UPMC4YOU/UPMC4Life

  • United Healthcare

  • Highmark Medicare


New Patient Paperwork

Auto-accident

Chiropractic/Graston/Rehabilitation

Nutrition/Functional Medicine

Worker's Comp

ChiroThin Weight Loss

Smith Health and Wellness Clinic. Building Two. 665 Rodi Road. Suite 100. Pittsburgh, Pa. 15235. 412-793-8900