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Online Forms

We offer our paperwork on line so you can complete it in the convenience of your own home. If you fill it out before your appointment, it will cut down on the amount of time you spend in our office for your first visit.


First Visit Forms

These forms inclued everything you need to get started as a patient at our office. Included here is the Health History, which let’s us know what’s happened, but perhaps more important, where you want to take your health? Aslo included here are the “legal” forms – Informed Consent and HIPAA Privacy Policies.

pdf iconDownload & Print Health History

pdf iconDownload & Print Informed Consent

pdf iconDownload & Print HIPAA Forms

pdf iconDownload & Print CAL Form

pdf iconDownload & Print Website Membership (US).pdf


Automobile Accident

If your health issue is the result of a car accident, we need some additional information. (Please also print the lien form)

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Download & Print Form


Worker’s Compensation

If your health issue is the effect of an injury at work, this information will help us help you. (Please also print the lien form)

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Download & Print Form


Other Injury

If your injury is not related to an automobile accident or work related injury; but is caused by a specific incident, this information will be helpful. (Please also print the lien form)

pdf icon

Download & Print Form


Lien

Are you working with an attorney or insurance company (other than heath insurance), below is the form needed to help process your case.

pdf iconDownload & Print Form


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.

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