New Patient Registration | Potential

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Patients

To save time at your first appointment, you can print and complete our intake paperwork in advance. All new patients are required to fill out the combined Patient Intake and Medical History Form, the PHQ-9 Form, the Policy Reminder Form, the Patient Agreement, and a Functional Screening.

Policy Reminder

Patient Agreement

Depending on your specific condition, you may also be asked to complete a functional screening form tailored to the area we are treating.

Lower Extremity

Upper Extremity

If your condition doesn’t fall into one of the categories listed above, or if you’re unsure which functional screen to complete, don’t worry — we’re here to help. We’ll guide you in selecting the most appropriate form during your first visit.

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