Patient Forms

Please print the forms below, fill them out and bring them (along with your insurance card and prescription) to your first appointment

Effective March 30, 2020 until further notice, we request our patients to comply with the following policies in order to ensure a safe treatment environment:

  • Before approaching the front desk, we will conduct a brief COVID-19 screen. Please be seated upon arrival in the designated waiting area and maintain 6 feet of physical distance between the front desk and other patients while in the waiting area.
  • Please do not arrive early for a scheduled appointment. We would appreciate that you arrive at your scheduled time in order to help minimize capacity in the clinic.
  • Family members, children or caregivers will not be permitted to accompany a patient in the clinic
  • We strongly recommend all patients wear a mask or face covering to their appointment in accordance with CDC guidelines. View the attached document for additional mask guidelines.
  • To minimize the overlap of patients in the clinic, we are scheduling strict 60 minute therapy sessions
  • Please limit the amount of belongings carried with you into the clinic, such as purses, backpacks, jackets that could be subject to contact exposure 

Please visit the COVID-19 Information area of our website to learn more about the precautions we have implemented to continue to ensure patient safety.

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