FORMS

New Patient Intake Forms - (all new patients need to complete each of these--For all forms, print, complete,scan, email back to the doctor or bring to the office on first visit)

• General Admittance
• Authorization and Confidentiality
• Chief Complaint
• Privacy Policy
• Informed Consent
• Systems Review
• Group Health Organization Request

Spinal Decompression Clinic Forms: (complete which applies)

• Neck Disability Index
• Low Back Pain Index

Accident Clinic Forms: (complete which one applies)

• Automobile Accident Report
• Worker's Compensation Injury

Absolute Health Clinic Forms:

• Symptom Survey
• Toxicity Questionnaire
• 200 Symtoms