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(Please click form to open in new window, then print, fill out and bring in to our office.)
All new patients: Please fill out all new patient forms.
Patient Personal Data
Patient Request For Personal Records
Laser Consent Form
HIPPA Privacy Act

Accident Patient Forms
(Please click form to open in new window, then print, fill out and bring in to our office.)
Accident patients: Please fill out all accident patient forms.
Roland-Morris Low Back Pain Questionnaire
Neck Disability Index
Revised Oswestry Low Back Pain Index
Accident History
Rand 36 Health Survey

Sports Physicals Forms
Sports Physicals Instruction Letter
Consent to Examination
Pre-Participation Physical Evaluation

Acupuncture
Awakening Intake Form

Special Information Documents
(Please click form to open in new window, then print, fill out and bring in to our office.)
Stretches & Exercises
Water Intake
Spinal Nerve Function Chart