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Patient Forms

To help get you started on your path to recovery, please print and fill out the following registration forms. They are supplied in Adobe PDF format. You can get a free copy of the Adobe PDF reader (Adobe Acrobat) here. Please be sure to bring all forms completed with you to your first appointment.


Medical History

Hippa Statement

Medication Log


If instructed by the office, please print out the relevant form:

Back Index



Neck Index

Patient Summary



Please bring the following materials with you for your first visit:

  • Registration Forms above
  • Prescription
  • Insurance Card
  • Drivers License or Picture ID