Please use the following links to complete new patient health history forms.

We strive to be on time to serve you better. In order to do this, you must have all paperwork completed prior to your appointment time to avoid having to reschedule.

Link to Complete Paperwork Online

Forms to Print:
New Patient Health History (age 6 and older)
Pediatric History Form (age 5 and younger)

Complete if This Relates to Your Area of Discomfort:
Headache Disability Index
Arm, Shoulder, and/or Hand Function
Leg, Knee, and/or Ankle Function

Required Insurance Forms (complete if this pertains to your coverage):
UnitedHealthcare Patient Summary Form
Medicare Advance Beneficiary Notice

For Auto Accident Patients:
Vehicle Accident Information (Adult)
Pediatric Auto Accident History

For all returning patients (last visit 2-3 months ago or longer):
Patient Update

Provided For All Patients:
HIPAA Notice of Patients Rights and Privacy Protection