Yalich Clinic – The Paperwork
The Paperwork
Here are some forms and PDF downloads for new clients to fill out.
New Patients: You Can Fill Out Our Intake Form Here!
We are HIPAA Compliant. Want more info?
You Will Need Adobe Acrobat Reader to View This File
Insurance Participation
Below is a list of most of the insurance companies we participate with. As a courtesy to our patients, we will call and verify benifits for you. While they may be quoted to us verbally or in writing, it is not a guarantee of payment by your insurance company. We always encourage our patients to verify their benefits as policies are subject to change.
- AARP
- Aetna – HMO, PPO, EPO
- Align
- BCBS Anthem
- BCBS Federal
- BCBS FERLA
- BCBS Indemnity
- BCBS Local
- BCBS National
- BCBS Out of State
- BRAVO Health
- CareFirst Administrator
- CareFirst BCBS
- Chesapeake Insurance Fund
- CoreSource
- CoreVel
- Coventry Healthcare
- EHP (Employer Health Programs)
- First Health Network
- GEHA
- Great West
- Health Net-PT ONLY
- Humana
- Johns Hopkins Health Care (EHP)
- Kaiser Permanente HMO
- Kaiser Flexible Choice
- Mail Handlers Benefit Plan
- Maryland Electrical Welfare Funds
- Maryland Health Insurance Plan
- MDIPA
- Medical Assistance/Medicaid
- Medicare *All Supplement Plans*
- MedStar-Chiro ONLY
- NALC
- NCAS
- OneNet
- Optimum Choice
- Personal Injury (PIP)
- PHCS
- Priority Partners
- Railroad Medicare
- Travelers
- United American Insurance Company
- United Healthcare
- US Family Health Plan/TriCare PT ONLY
- USAA
- Worker’s Compensation
Please have your primary care or referring physician include Chiropractic and Physical Therapy services on all Referrals
Please contact the Billing/Management Office at 443-749-0001 for all billing and/or insurance questions.
Below are PDF downloads for those requesting more information on chiropractic care.