Patient Forms

For your convenience, we've provided our patients forms on our website. To help expedite your first visit, please download, print and complete the forms. Bring them with you when you come in for your first visit. If you choose to fill out the patient form packet at our office, please arrive 10-15 minutes before your appointment to allow enough time to get them completed before your appointment.

If you are being referred to our clinic for dizziness, please try your best to fill out the Dizziness Inventory packet prior to your appointment as this questionnaire requires more time to complete. We realize this form is long but when it is filled out carefully, it allows us more time to devote to your specific problem, rather than asking you related questions during your visit.

Our forms are PDF files. To download and print the forms, you'll need the free Adobe Acrobat Reader program.

Patient Forms

Physician Referral

Aquatic Info & Consent

Dizzy Questionnaire

Dry Needling Consent