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New Patient Forms

We offer our paperwork online so you can complete it in the convenience of your own home.


Health History

This lets us know what’s happened, but perhaps more important, where do you want to take your health?

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Pain Assessment

Give us some information on location, type and severity of your pain.

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HIPAA Consent Form

We want you to know how your Patient Health Information (PHI) is going to be used in this office and your rights concerning those records.

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HIPAA Release Form

Sign this form to acknowledge that you have received a copy of our office’s Notice of Privacy Practices.

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Missed Appointment Policy

In order to provide you and our other patients with the best optimal spinal care, we request that you follow our guidelines regarding broken and/or cancelled appointments.

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Free AdobeReader®

Get adobe readerEach form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.