Intake Forms

Form Instructions:
All patients must complete our Initial Intake Form and the Service Questionnaire for the service they are booking. If your service does not have a questionnaire, only the Initial Intake Form is required.

Existing patients only need to complete the Initial Intake Form if it has been more than two years since it was last completed or if your information has changed.

All automotive, workers’ compensation, and personal injury patients (new or existing) must also complete the Injury Intake Form.

Initial Intake Form

Complete your intake in advance or arrive at your appointment 30 minutes early. Initial intake is required along with the service questionnaire for all new patients.

Acupuncture, Dao Needle & Dry Needle Therapy

Complete your intake in advance or arrive at your appointment 30 minutes early. Initial intake is required along with the service questionnaire for all new patients.

Automotive, Workman's Comp Intake Forms

Complete your intake in advance or arrive at your appointment 30 minutes early. Initial intake is required along with the service questionnaire for all new patients.

Body Engineering

Complete your intake in advance or arrive at your appointment 30 minutes early. Initial intake is required along with the service questionnaire for all new patients.

Chiropractic

Complete your intake in advance or arrive at your appointment 30 minutes early. Initial intake is required along with the service questionnaire for all new patients.

Cryotherapy, Whole Body

Complete your intake in advance or arrive at your appointment 30 minutes early. Initial intake is required along with the service questionnaire for all new patients.

Pelvic Floor

Complete your intake in advance or arrive at your appointment 30 minutes early. Initial intake is required along with the service questionnaire for all new patients.

Functional Medicine

Complete your intake in advance or arrive at your appointment 30 minutes early. Initial intake is required along with the service questionnaire for all new patients.

Health Consultation

Print your intake take in advance, or arrive to your appointment 15-20 minutes early.

Hyperbaric Oxygen Therapy Chamber

Complete your intake in advance or arrive at your appointment 30 minutes early. Initial intake is required along with the service questionnaire for all new patients.

Injection Therapy

Complete your intake in advance or arrive at your appointment 30 minutes early. Initial intake is required along with the service questionnaire for all new patients.

Intravenous (IV) Therapy

Print your intake take in advance, or arrive to your appointment 15-20 minutes early.

Laser Therapy, Deep Tissue Heat

Complete your intake in advance or arrive at your appointment 30 minutes early. Initial intake is required along with the service questionnaire for all new patients.

Massage

Complete your intake in advance or arrive at your appointment 30 minutes early. Initial intake is required along with the service questionnaire for all new patients.

Postural Alignment Therapy

Print your intake take in advance, or arrive to your appointment 15-20 minutes early.

Physician Assistant (PA-C)

Complete your intake in advance or arrive at your appointment 30 minutes early. Initial intake is required along with the service questionnaire for all new patients.

PRP Injection Therapy

Complete your intake in advance or arrive at your appointment 30 minutes early. Initial intake is required along with the service questionnaire for all new patients.

Shockwave Therapy

Print your intake take in advance, or arrive to your appointment 15-20 minutes early.

Spinal Decompression

Complete your intake in advance or arrive at your appointment 30 minutes early. Initial intake is required along with the service questionnaire for all new patients.

Sports Therapy Tools - Gait Scan, Game Ready, NormaTec Boots, Roller Table

Print your intake take in advance, or arrive to your appointment 15-20 minutes early.

Viora Intake Forms

Print your intake take in advance, or arrive to your appointment 15-20 minutes early.