New Client Forms

New Client Forms Process

New Client Forms are here to make the registration process as easy as possible. Please complete the Registration Packet, The Client/Therapist Game Plan and the Body Part Forms paperwork online and print.  Please bring all forms on your first visit.  Due to HIPPA regulations, completed forms will not be saved unless downloaded to your own computer.

*All forms should open automatically in Adobe Acrobat. If you do not have Adobe Acrobat, please click the following link and install a FREE download. Forms open best in Chrome, Internet Explorer and Safari browsers. Adobe Acrobat Reader

Effective January 1, 2017 ***Our client managers will verify your insurance benefits before your first visit so that you will know up front what your cost will be regarding copays and deductibles.  Clients who have a deductible that has not been met will need to pay $85 for the initial visit and $65 for each follow up visit covering the majority of the cost and preventing a large bill from being owed at the end.   Copays will remain due at the time of service. You will be sent monthly statements and any additional charges not covered will need to be collected at that time.  We don’t like this anymore than you do. This is happening to everyone.***

 

Standard Forms

Registration Packet (to be completed by all clients)
Game Plan (complete only The Client Expectations section)

Most clients: The Client/Therapist Game Plan

Balance and Vertigo clients only: The Client/Therapist Game Plan – Balance and Vertigo

Body Part Forms

Only complete the paperwork for the body part to be treated. Since pain may fluctuate during a given time period, provide your answers according to the worst you have felt for the given week.

Neck

Arm, Shoulder and/or Hand

Lower Back

Lower Extremity Functional Scale

 

General Health Education

Please review the following articles to address overall health and pain management.

Body Mechanics Review

Safe Desk Setup

Comfortable Sleep Positions

General Lifting Review