For your convenience, our new patient* and new physical therapy patient paperwork is available online. These screening forms will be used as a diagnostic tool for your physician or therapist and must be filled out in their entirety before your visit. We have also made available several standard disclosure documents for your review. To see/print these forms, you must have a recent version of Adobe Reader installed (if you do not, click here). They may not be completed or submitted online.
The fastest and easiest way to fill our your paperwork and contact the clinic is by using our Patient Portal.
- New Patient Packet (PDF)
- New Patient Packet – Spanish Version (PDF)
- New Patient Referral Form (Physician Use Only)
New Physical Therapy Patient
- HIPAA Notice of Privacy Practices (PDF)
- HIPAA Notice of Privacy Practices Spanish Version (PDF)
- Information on Prescription Narcotics (PDF)
- Authorization for Release of Information (PDF)
PLEASE NOTE: If you cannot print these forms, this paperwork can be sent to you before your appointment by mail (allow three to four days for delivery), fax (allow up to 24 hours), or email, or the forms may be given out at the front desk of the clinic. If you choose to fill out the paperwork on the day of your appointment, or if you will not receive the forms by mail by your appointment date, please be prepared to come in 30 minutes to an hour in advance. If you believe that it will take you longer to fill out the paperwork because of a medical condition (e.g., arthritis or memory-related issues), please arrive an hour early.
*New patients need to bring completed new patient paperwork, picture ID, health insurance card, payment for co-pay or co-insurance (all payments are due at time of service by cash, check (with proper ID), MasterCard, VISA, Discover or American Express), and any X-rays, scans and/or previous medical records for your back complaint.