New Patient Forms
If you would like to fill out the new patient forms before your first appointment, please download and print the New Patient Forms below. Please complete both pages and remember to bring these in with you to your initial evaluation.
New Patient Forms
Please feel free to fill out your paperwork before your Initial Appointment and bring it with you!
Medical History Form: |
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Financial Policy: |
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Cancellation Policy: |
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Demographics: |
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A doctor's referral is required:
| script.pdf |
Please Note:
- Your insurance may require a prescription, order, or referral from your doctor in order to receive treatment. It must be up-to-date (signed by your doctor within the last 30 days). If you have not yet received a prescription, contact our office to see if your insurance participates in Direct Access!
- If you have been admitted to a hospital since your last visit you must have a doctor's note approving the continuation of therapy before we can begin treatment again.
- If you were receiving Home Health therapy you must be discharged before we can begin treatment.