Forms

For your convenience you may print and complete these forms prior to your first visit.
If you don not have access to a printer, please arrive 15 minutes prior to your scheduled appointment to complete them in the clinic.

New Patient Information Package

If you have neck pain: Neck Disibility Index

If you have headaches: Headache Disibility Index

If you have back/hip pain: OSWESTRY

If you have knee or anckle pain: Lower Extremity Functional Scale

If you have shoulder, elbow, or wrist pain: DASH

Physician Use Prescription Form

 

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