Forms & documents

To expedite the registration process please print, fill out, and bring the following forms associated with the issue for which you are seeking treatment to your first visit. 


All New Patients:

Notice of Privacy Practices

Patient Health Questionnaire


Choose from the following based on the issue for which you are seeking treatment

Neck Index

Back Index

Upper Extremity Functional Index (shoulder, hand, etc.) 

Lower Extremity Functional Index (knee, foot, etc.) 

Dizziness Handicap Inventory - Screening Version (DHI-S) 


If none of the above apply to your issue, please fill out: 

Optimal Instrument Difficulty


If you are 65 or older

Fall Risk Assessment

PHQ-9 Patient Health Questionnaire


If you were not referred

Patient Attestation Form