We encourage you to click on the “Patient Registration Form” and after completing the registration form, go to the Health Questionnaire form, and finally print out the index for the corresponding body part you are having issues with. Please fill out all forms for your first visit .
Please bring the Physician note or Referral signed by the physician with you on your first visit. It is possible that we may be unable to see you without a referral. You can print this Physician Referral Form and have the physician sign it. Make sure to review our notice of privacy practice as well.
Por favor, traiga la nota del médico o la remisión firmada por él en su primera visita. Es posible que no podamos atenderle sin una remisión. Puede imprimir este formulario de remisión médica y pedirle al médico que lo firme. Asegúrese también de revisar nuestro aviso de privacidad.
If you are having a problem with your back, print and fill out the form and bring it with you. Please do this within 24 hours prior to your appointment.
Si tiene algún problema de espalda, imprima y complete el formulario y tráigalo consigo. Por favor, hágalo dentro de las 24 horas previas a su cita.
If you are having a problem with your arm, shoulder, or hand, print and fill out the form and bring it with you. Please do this within 24 hours prior to your appointment.
Si tiene algún problema en el brazo, hombro o mano, imprima y complete el formulario y tráigalo consigo. Por favor, hágalo dentro de las 24 horas previas a su cita.
If you are having a problem with your legs, ankles, knees, or hip, print and fill out the form and bring it with you. Please do this within 24 hours prior to your appointment.
Si tiene algún problema en las piernas, tobillos, rodillas o cadera, imprima y complete el formulario y tráigalo consigo. Por favor, hágalo dentro de las 24 horas previas a su cita.
Patient Registration
Welcome To Your First Step Toward Feeling Better!
To help us get to know you and provide the best care possible, we ask all new patients to complete a short set of registration forms before their first visit. These forms give us important details about your medical history, current symptoms, and insurance information. You can fill them out online or download them to bring with you - whatever works best for you!
What you'll need to complete:
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New Patient Registration Form - Tell us your Health Insurance Information, Consent to Treat, and Privacy Policy (HIPAA)
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Health Screening Form - Tell us about your medical history and your symptoms
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Pain Index - Fill out a quick form on how your pain is limiting your daily activities to help us personalized your care!