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Patient Forms

Please complete the applicable forms prior to your first appointment. It only takes a few minutes.

Patient Forms

Intake Form

New patient information and medical history

First Visit Open Form

General Consent Form

Authorization for treatment and services

First Visit Open Form

Pre-Visit Questionnaire

Help us prepare for your upcoming visit

Each Visit Open Form

Photo ID Upload

Securely upload your government-issued photo ID

First Visit Open Form
IV Therapy

IV Therapy Intake Form

Health screening for IV therapy eligibility

Step 1 Open Form

IV Therapy Consent Form

Specific consent for IV therapy procedures

Step 2 Open Form

IV Therapy Order Form

Select your IV therapy — complete after screening

Do not complete this form until you have been screened to avoid being charged unnecessarily.
Step 3 Open Form
Additional Forms

Trigger Point Injection Consent

Consent for trigger point injection procedures

If Applicable Open Form

Need help or have questions about the forms?

Our team is happy to assist you with any questions before your appointment.

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Are you a:

New Patient
Existing Patient