Patient Forms
Please fill out the following paperwork and bring it with you to your apppointment:
**It is strongly recommended to use Google Chrome as your browser to complete paperwork**
- Adult Initial Paperwork
- Pediatric Initial Paperwork
- Pediatric Incontinence Forms
- Massage Intake Form
- Cancellation Policy – 2022
- Cancellation Policy 2022 – Medicaid Patients
- Notice of Privacy Practices (for all patients)
- “Discrimination is Against the Law” Poster
- COVID-19 Guidelines for Patients February 2022
- Good Faith Estimate – Private Pay Patients
- Credit Card Authorization Form
- Notice of Accessibility
- Non-Discrimination Notice