New Patients

 

In order to expedite your check in process we are making the forms available for you to fill out in the comfort of your own home or office. The following forms need to be filled out by every new patient or patients that haven't been seen in more than 6 months.

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• Intake Questionnaire

• Notice of privacy practices - english - spanish

• Financial and Billing Policy

• Assignment of Benefits - Medicare Patients

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In addition, please fill out the appropriate form(s) for the area(s) being treated: 

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• Upper Extremity (Arm, Hand, Wrist, Elbow, Shoulder) - spanish - english

• Lower Extremity (Leg, Foot, Ankle, Knee, Hip) - spanish - english

• Back - spanish - english

• Neck - spanish - english

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Existing Patients

 

The following are follow-up forms your therapist might ask you to fill out during the course of your treatment

 

• Upper Extremity (Arm, Hand, Wrist, Elbow, Shoulder) - spanish - english

• Lower Extremity (Leg, Foot, Ankle, Knee, Hip) - spanish - english

• Back - spanish - english

• Neck - spanish - english

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