Skip to content

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.

Download & Print Form


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.

Download & Print Form


Specific Authorizations

Read and acknowledge our policy on how we can or cannot use your information.

Download & Print Form


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.

Download & Print Form


Additional Intake Form for Headache Sufferers

If your health issue is the result of a car accident, we need some additional information.

Download & Print Form


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.

Download & Print Form


Additional Intake Form for Insomnia

If you have difficulty sleeping, please complete this form to provide us with additional information.

Download & Print Form


Free AdobeReader®

Get adobe readerEach 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.