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    • Home
    • About Us
      • Our Mission
      • Our Location
      • Our Team
    • What We Treat
    • How We Treat
    • Patient Info
      • Insurance
      • Intake Forms
      • FAQ
  • Home
  • About Us
    • Our Mission
    • Our Location
    • Our Team
  • What We Treat
  • How We Treat
  • Patient Info
    • Insurance
    • Intake Forms
    • FAQ

Patient intake forms

Step 1: INTAKE PACKETS

Choose one:

Private Insurance (for patients with commercial/private insurance/work comp/auto)

Medicare (for patients with Medicare/Medicaid)

Private Insurance (pdf)

Download

Medicare (pdf)

Download

Step 2: Body Area specific forms

Choose one form that best matches the area you are seeking treatment for.

Shoulder/Elbow/Wrist/Hand (pdf)

Download

Hip/Knee/Ankle/Foot (pdf)

Download

Neck and Mid-Back (pdf)

Download

Lower Back (pdf)

Download

Bring all completed forms to your first appointment.

Not sure which forms you need?  Give us a call at (208) 906-8469 or use the button below to contact us and we'll be happy to help.

Contact Us

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