Patients may download and complete many of our forms at home. Doing so will streamline your first visit.

All New Patients

• All Patients: Patient Intake
• Plus:
• If you have neck pain or headaches Neck Index
• If you have back pain Back Index

Additional Forms for Specific Insurances

Patients with United Healthcare:

• Summary (All UHC members)
• Plus:
• If you have shoulder, arm, or hand pain Upper Extremity Index
• If you have hip, leg, knee, ankle, or foot pain Lower Extremity Index
• If you have back pain Back Index
• If you have neck pain or headaches Neck Index

Patients with Cigna:

• Summary
• Plus:
• If you have shoulder, arm, or hand pain Upper Extremity Index
• If you have hip, leg, knee, ankle, or foot pain Lower Extremity Index
• If you have back pain Back Index
• If you have neck pain or headaches Neck Index