Intake Forms
Please print one Insurance Coverage form, No-Show Policy form, and HIPAA Privacy Policy form, sign, and bring to you first appointment.
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Click here to access the Insurance Coverage form, print it out, sign it, and bring in for your initial examination.
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Click here to access our No-Show Policy, print and sign it, then bring it to your initial examination.
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Click here to read the K-13 HIPAA Privacy Policy
Click here to access the acknowledgement form
Functional Scales
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Fill out this form for arm, elbow, hand, or shoulder pain.
Click here to print your Upper Extremity functional scale.
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Fill out this form for ankle, knee, hip, or leg pain.
Click here to print your Lower Extremity functional scale.
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Fill out this form for neck pain.
Click here to print your Neck Disability index.
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Fill out this form for back pain.
Click here to print your Low Back questionarre.