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Registration Paperwork


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Please click on the necessary forms below.  
Completing the appropriate forms ahead of time will allow us to speed things up on your 1st visit.


*You must have an Acrobat Reader to view the Acrobat files. If you don't already have Adobe Acrobat, you can download the Acrobat Reader Free.


All patients should complete these 2 forms:


Patient Registration
File Size: 61 kb
File Type: pdf
Download File

Medical History
File Size: 56 kb
File Type: pdf
Download File


Complete the appropriate form related to your condition:


Neck Pain
File Size: 76 kb
File Type: pdf
Download File

Arm Pain
File Size: 84 kb
File Type: pdf
Download File

Back Pain
File Size: 78 kb
File Type: pdf
Download File

Leg Pain
File Size: 46 kb
File Type: pdf
Download File


Complete ONLY for Worker's Compensation and No Fault Insurance:


WC and NF Only
File Size: 110 kb
File Type: pdf
Download File


Our Notice of Privacy Practices (NO Signature Required):


Notice of Privacy Practices
File Size: 78 kb
File Type: pdf
Download File



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