All patients must fill out the New Patient Information, Medical and Financial Authorization, Electrode form, and corresponding survery based on injury location. Those with United Health Care insurance will also need to fill out the United Health Care Patient Questionaire.

New Patient Information

new_patient_info.pdf

Medical and Financial Authorization

med_and_financial_auth.pdf

Electrode Form

electrode_policy.pdf

Back Survey

backindex.pdf

Neck Survey

neckindex.pdf

Lower Extremity Scale

lefs.pdf

Shoulder, Arm and Hand Survey

dash.pdf

United Health Care Patient Questionaire

uhc_patient_summary_form.pdf
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