Patient Forms

Your time is valuable! We are providing paperwork here for you online to bring to your first appointment. Please fill out these documents and bring them with you when you come in for your first appointment. Occasionally, different insurance companies require additional information that you may need to complete upon check-in, but filling out these forms will help alleviate at least some of the required paperwork.

To get started, please select your primary insurance carrier:

Private Insurance Forms

Please download the form packet based on your particular injury - back, neck, lower extremity (hip/knee/leg/ankle/foot), or upper extremity (shoulder/arm/hand/wrist). Then, print the form packet, fill it out completely and bring it to your first office visit.

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Medicare Forms

Please download the form packet based on your particular injury - back, neck, lower extremity (hip/knee/leg/ankle/foot), or upper extremity (shoulder/arm/hand/wrist). Then, print the form packet, fill it out completely and bring it to your first office visit.

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United Healthcare Forms

United Healthcare requires different patient forms. Please download the form packet based on your particular injury - back, neck, lower extremity (hip/knee/leg/ankle/foot), or upper extremity (shoulder/arm/hand/wrist). Then, print the form packet, fill it out completely and bring it to your first office visit.

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Physician Prescription

  • Physician Prescription Form - some insurance companies may require your physician to complete a physician prescription. Please download it, have your physician complete it and fax it to the location where you have your appointment.

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