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Uninsured Patient Options

 

     We offer two programs to help reduce the cost of the adjustment and exam appointments for people who have to pay cash. The first program is a Wellness Plan for adjustments and a separate one for massage therapy.  They are outlined below.  You can purchase a package of visits at a reduced rate.

 

Adjustment Plan:

 

THE INDIVIDUAL OR FAMILY ADJUSTMENT  PLAN  has been designed to save your money and will guarantee that the cost of your spinal care will not increase during the next 12 months.  The Adjustment Plan is being offered as an opportunity for our loyal patients to save money.

 

*The Adjustment  Plan will be effective for 12 months from date of purchase (i.e. purchase date 1/1/15, expiration date is 1/1/16).  Patient may use his/her visits as he/she pleases; however, there is no refund if patient does not use up all his/her visits by the expiration date. Appointments are required.

 

*The Adjustment Plan will cover only adjustments.    It will not cover treatment of trauma or injuries caused by falls, twists, bending, or auto or work related injuries that may be legally reimbursed in the future.  (Or have need for Exam or new diagnosis to treatment.)   

 

*The Adjustment  Plan is not covered by insurance and is legal because it is paid in advance and not reimbursable, partially or in full.

 

*Payment in full via cash, debit card, or credit card is expected at time of purchase.

 

*The Adjustment Plan is being offered with 3 choices.  Cost of The Adjustment  Plan is as follows:

 

12 adjustments - $660 ($55ea) savings of $180 over single fee         

 

6 adjustments - $360 ($60 ea) savings of $60 over single fee

 

4 adjustments - $260 ($65 ea) savings of $20 over single fee

 

Should you decide not to take advantage of The Spinal Wellness Plan, single spinal wellness adjustments will be available for $65, $70, or $80 payable at time of visit. 

 

Massage Plan:

 

The Individual  Massage Plan is a cost effective way for patients who are interested in maintaining spinal health through massage in between treatment plans with Dr. Leheny.  Insurance does not cover therapy when you have reached maximum medical improvement or when not following a treatment plan under Dr. Lehenyâ��€��™s care; therefore the financial responsibility goes to the patient.  The Individual Massage Plan is being offered as an opportunity for loyal patients to save money.

 

* The Individual Massage Plan will be effective for 12 months from date of purchase (i.e. purchase date 1/1/16, expiration date is 1/1/17).   Patient may use his/her visits as he/she pleases.  There is no refund, partial or full, if the patient does not use up all his /her visits by the expiration date.  Appointments are required.

 

* The Individual Massage Plan is not covered by insurance and is legal because it is paid in advance and not reimbursable, partially or in full.

 

*Payment in full via check, cash, debit card, or credit card is expected at time of purchase.

 

* The Individual Massage Plan is being offered with 3 choices.  Cost of The  Individual Massage  Plan is as follows:

 

12 massages-$420 ($35each)  savings of $180 over single fee

 

5 massages-$200 ($40each)  savings of $50 over single fee

 

3 massages-$135 ($45each) savings of $15 over single fee.

 

Should you decide not to take advantage of The Individual Massage Plan, single massage sessions will be available for $50 payable at time of each massage visit.

 

ChiroHealth USA:

 

Our new Discount Medical Plan program is called ChiroHealthUSA.  This program has a membership fee of $49.00 per year.  This can be used for non-medically necessary chiropractic visits at a discount.  The chart below shows common procedure codes along with the normal cost for each code, followed by the ChiroHealthUSA fees.  Office charges are subject to change due to the economy.  This program enables patients to come to the office and receive services without any insurance restrictions.  These ChiroHealthUSA visits are never submitted to your insurance company. You apply for the ChiroHealthUSA Discount Medical Program in Dr. Lehenyâ��€��™s office through the front desk. This is where you will need a credit/debit card to apply.

 

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All prices are subject to change

Uninsured Patient Options

     We offer two programs to help reduce the cost of the adjustment and exam appointments for people who have to pay cash. The first program is a Wellness Plan for adjustments and a separate one for massage therapy.  They are outlined below.  You can purchase a package of visits at a reduced rate.

Adjustment Plan: 

THE INDIVIDUAL OR FAMILY ADJUSTMENT  PLAN  has been designed to save you money and will guarantee that the cost of your spinal care will not increase during the next 12 months.  The Adjustment Plan is being offered as an opportunity for our loyal patients to save money.

*The Adjustment  Plan will be effective for 12 months from date of purchase (i.e. purchase date 1/1/15, expiration date is 1/1/16).  Patient may use his/her visits as he/she pleases; however, there is no refund if patient does not use up all his/her visits by the expiration date. Appointments are required. 

*The Adjustment Plan will cover only adjustments.    It will not cover treatment of trauma or injuries caused by falls, twists, bending, or auto-or work-related injuries that may be legally reimbursed in the future.  (Or have need for Exam or new diagnosis to treatment.)    

*The Adjustment  Plan is not covered by insurance and is legal because it is paid in advance and not reimbursable, partially or in full. 

*Payment in full via cash, debit card, or credit card is expected at time of purchase.

*The Adjustment Plan is being offered with 3 choices.  Cost of The Adjustment  Plan is as follows:

12 adjustments - $660 ($55ea) savings of $180 over single fee          

6 adjustments - $360 ($60 ea) savings of $60 over single fee

4 adjustments - $260 ($65 ea) savings of $20 over single fee

Should you decide not to take advantage of The Spinal Wellness Plan, single spinal wellness adjustments will be available for $65, $70, or $80 payable at time of visit. 

Massage Plan:

The Individual  Massage Plan is a cost effective way for patients who are interested in maintaining spinal health through massage in between treatment plans with Dr. Leheny.  Insurance does not cover therapy when you have reached maximum medical improvement or when not following a treatment plan under Dr. Leheny’s care; therefore the financial responsibility goes to the patient.  The Individual Massage Plan is being offered as an opportunity for loyal patients to save money. 

* The Individual Massage Plan will be effective for 12 months from date of purchase (i.e. purchase date 1/1/16, expiration date is 1/1/17).   Patient may use his/her visits as he/she pleases.  There is no refund, partial or full, if the patient does not use up all his /her visits by the expiration date.  Appointments are required.

* The Individual Massage Plan is not covered by insurance and is legal because it is paid in advance and not reimbursable, partially or in full. 

*Payment in full via check, cash, debit card, or credit card is expected at time of purchase.

* The Individual Massage Plan is being offered with 3 choices.  Cost of The  Individual Massage  Plan is as follows:

12 massages-$420 ($35each)  savings of $180 over single fee

5 massages-$200 ($40each)  savings of $50 over single fee

3 massages-$135 ($45each) savings of $15 over single fee. 

Should you decide not to take advantage of The Individual Massage Plan, single massage sessions will be available for $50 payable at time of each massage visit.

ChiroHealth USA:

Our new Discount Medical Plan program is called ChiroHealthUSA.  This program has a membership fee of $49.00 per year.  This can be used for non-medically necessary chiropractic visits at a discount.  The chart below shows common procedure codes along with the normal cost for each code, followed by the ChiroHealthUSA fees.  Office charges are subject to change due to the economy.  This program enables patients to come to the office and receive services without any insurance restrictions.  These ChiroHealthUSA visits are never submitted to your insurance company. You apply for the ChiroHealthUSA Discount Medical Program in Dr. Leheny’s office through the front desk. This is where you will need a credit/debit card to apply. 

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.

.

.

.

.

.

.

.

All prices are subject to change

Patient Forms

These are forms for you, the patient, to bring to your appointment. Please follow the directions for each. 

To print: right click each document in turn and select "save image as."  Save image, then print from your computer. Or download the file by clicking the blue "Download File Now" link below each image. Please fill out each document prior to your appointment. 

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Demographic and Assignment of Benefits

Please fill this out for your first appointment in our office and for each new year. This Document needs to be updated each year. Please Initial each line, if you have a question, bring it into your appointment and review it with our office staff.

      If you are a new patient or a patient that needs to update               information please complete all questions on the online registration  

       

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Review of Systems

This document is only needed for your first visit, please check either yes or no for each field. If we need you to update this document, we will inform you. 

Online Registration

Click Here To Regester

This document gives us permission to send the billing codes for orthotics to your insurance

Permission to Bill for Orthotics

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PLEASE NOTE: filling out online registration does not make you an appointment. You must call the office directly to schedule an appointment 

Office Hours:

Monday: 9:00am-5:00pm

Tuesday: 8:30am-12:00pm

Wednesday: 9:00am-5:00pm

Thursday: 2:00pm-5:00pm (Alternating)

Friday: 9:00am-5:00pm

Saturday: 9am-12pm (Alternating)

Sunday: Closed

Last Updated: 10/17/16