Patient Forms

If you would like to save time on your first visit, please print the patient **New Patient Forms** below, fill them out, and bring them with you to your first appointment. Otherwise, please allow extra time (15 -20 minutes) before your first appointment to fill them out here.

New Patient Forms

  1. Patient Information Form
  2. Medical History Form
  3. Pain Assessment Form
  4. Authorization & Assignment of Benefits
  5. Cancellation Policy & Agreement

Our forms are PDF files. In order to download and print them, you’ll need the free Adobe Acrobat Reader program: iPad/iPhone | Android | Desktop

Preparing for Your First Appointment

  • Please call our office to verify your insurance benefits.
  • Arrive 15 minutes early for your first appointment.
  • Please bring with you:
    • Your therapy prescription (if you have one)
    • Your insurance card(s)
    • A photo ID
    • Completed New Patient Packet (if you filled it out at home)

Questions to Ask and Things to Consider

  • Make a list of questions you’d like to ask during your first meeting.
  • Prepare to talk about your medical history, previous treatments, current medications, and other relevant details.
  • Make a list of any symptoms or signals the therapist should be aware of. What has recently irritated or wounded you? How long have you been working on this problem? What are you unable to perform as a result of it?