New Patient Forms

Save time by reading and/or completing these forms at home BEFORE your first visit!
These forms are in the Adobe PDF format - if you have trouble opening them, when you click on the name, please try RIGHT clicking on the name and selecting "Open in New Tab" or "Save Link As" - you will be given the option to save the PDF form to your computer. You can then open it from the folder you saved it to.

Please Read:

Best Results, Least Visits^®

Notice of Information Practices

Completing these forms will help us to better assess your condition and ensure you recieve the best treatment possible!

Please COMPLETE and BRING to your First Appointment

New Patient Information Form

Physical Screening Intake Form

Important Clinic Policies

Assignment and Lien

Financial Policy Provisions

Physical Survey Form
(Complete ONLY those that apply to the condition you are being seen for)
Low Back
Neck
Upper Extremity (Arm, Shoulder, Hand)
Lower Extremity (Hip, Knee, Ankle, Foot)
Balance
Dizziness

Click on the NAME of the form, then print to complete by hand.
All files are in PDF format.

You will need Adobe Acrobat© or some similar program to read these files. Adobe Acrobat Reader© is FREE and often already installed on your computer!
If you are having trouble viewing these files, please consider downloading FOXIT (click here!)- another FREE small PDF reader!