All patients must fill out the New Patient Information, Medical and Financial Authorization, Electrode form, and corresponding survery based on injury location.

 

If your child is a student athlete, please print and fill out the Student Athlete Letter to send with your child on his/her first visit.

New Patient Information

Medical and Financial Authorization

Electrode Form

Back Survey

Neck Survey

Lower Extremity Scale

Shoulder, Arm and Hand Survey

United Health Care Patient Questionaire

Student Athlete Letter