Patient Intake Forms

Prepare for Your Visit

To be ready for your visit, we suggest the following:

• Print and complete the intake forms found below.

• Obtain and bring a copy of your latest x-ray. Often, the X-ray is provided to you on a disc from the doctor’s or radiologist’s office.

• We collect payment at the time of treatment.  If you have out-of-network benefits through BCBS/Horizon, Aetna or United Health Care we are able to submit to your insurance as a courtesy.  To do this, we will need a copy of the front and back of your insurance card.   For other insurances, we will provide you with a superbill which you can submit to your insurance.

• Check out the Insurance Information page on this website for helpful information relating to insurance reimbursement.

• Pictures will be taken to document progress.  

• Wear sports clothing. A sports bra is recommended for females. (We need to see your back.)

• You may want to bring a water bottle with you to stay hydrated.