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.
Our forms are PDF files. In order to download and print them, you’ll need the free Adobe Acrobat Reader program: iPad/iPhone | Android | Desktop
English Intake
Spanish Intake
Cupping Therapy Consent Form
Shockwave Therapy Consent Form
Medical Lien
New York Motor Vehicle No-Fault Insurance Law
New York Motor Vehicle No-Fault Insurance Law Assignment of Benefits Form
Pelvic Floor Treatment Consent Form
Records Release Authorization Request Form
