New Patients
If it is your first time at our office, we will need some information about you. Depending on the number of ailments you may have, putting this information down on paper can take anywhere from 5-30 minutes of your time. It would help us greatly and decrease your wait time if you fill out the following registration forms ahead of time.

Registration Forms
(prior to first appointment - all patients)

United Health Care / Neighborhood Health Plan Insurance: If you are a subscriber of either of these insurances we will need additional information. Please select the body part that is to be treated and complete the bottom part of the first page, and all of the subsequent pages.


Neck
Back
Hip, Knee, Ankle, or Foot
Shoulder, Elbow, Wrist, or Hand
Cuello
Espalda
Cadera, Rodilla, Tobillo, o Pie
Hombro, Codo, Muneca, o Mano

For your first visit, youíll need the following:
1. Health Insurance cards and Driverís License or ID Card
2. Completed Registration Forms
3. Completed Joint Specific Documentation if your insurance carrier is UHC/NHP.
4. If you have one, your prescription from your doctor
5. Loose fitting athletic clothes and shoes