Patient Forms 

Please print and fill out the Health History form and insurance information before coming to your appointment.​ 

Arm, Shoulder or Hand – Printable PDF

Low Back – Printable PDF

Lower Extremities : Hip/Knee/Foot – Printable PDF

Neck – Printable PDF

Balance – Printable PDF

Vertigo/Vestibular – Printable PDF

Headaches- Printable PDF

TMJ- Printable PDF​​

•••Medicare Patients – Please fill out one additional form required by Medicare.

For your First Visit

In order for us to provide the best care for you, it is very important that you bring the following items to your visit:

•Photo ID
•Insurance information and card
•A list of your current medications
•Your referring physician and primary care physician’s name, address and phone number
•A referral/script from your physician
***Copay is due at the time of visit***