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Admitting Paperwork
We offer our paperwork online so you can complete it in the convenience of your own home.
Adult and Youth Patient Intake Forms
This lets us know what’s happened, but perhaps more important, where do you want to take your health?
Download & Print Adult Intake Form
Download & Print Youth Intake Form
Notice of Privacy Practices
This notice describes how medical information about you may be used and disclosed and how you can get access to this information.
Medical Records Request/Release
If you need to request a release of medical records to our office or you’re requesting we release our records to another office, please select the appropriate form.
Download & Print Medical Records Request Form
Download & Print Medical Records Release Form
Massage Cancellation Policy
Read and acknowledge our policy on massage appointment cancellations.
Specific Authorizations
Read and acknowledge our policy on how we can or cannot use your information.
Patient of Record Update
This Form is for established patients who have not updated their history form in over 6 months. Please fill this form out and bring to your next appointment.
Additional Intake Form for Headache Sufferers
If your health issue is the result of a car accident, we need some additional information.
Additional Intake Form for Adrenal Fatigue Survey
If your health issue is the effect of an injury at work, this information will help us help you.
Additional Intake Form for Insomnia
If you have difficulty sleeping, please complete this form to provide us with additional information.
Free AdobeReader®
Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.