Align Health Services & Koithan PC

Patient Information


Patient Forms

We take the time to create a personalized treatment for each patient and we offer a wide range of services. It is our goal to make your visit with us an extremely pleasant one and to send you home satisfied.

Your first visit to our practice establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information and give you time to get to know our office.

We always respect your privacy and confidentiality to make your visit comfortable for you.

Before you come to our practice for your first appointment, please take a minute to print and fill out the patient information forms.

Accepted forms of payment are cash, checks, credit cards.

A credit or debit card is required for all NEW appointments. Cards are to guarantee the appointment, and would only be charged in the event of a no-show or last minute cancellation or reschedule.


Insurances Accepted


Beacon Health

Blue Cross & Blue Shield

Cigna (out-of-network)


United Healthcare (Optum)


Value Options

or Self-Pay!