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