Our Online Forms Make It Easy to Get Started!
If you are a new patient, please use the NEW PATIENTS drop-down menu and select from adult, teen, child or infant. Fill the entire form out being as detailed as possible and click submit. Forms typically take 10 minutes.
If you are an existing patient but it has been over a year since your last visit, please use the NEW PATIENTS drop-down menu and select the return patient form. Fill the entire form out being as detailed as possible and click submit. If you have not been in the office for more than 3 years you are considered a new patient. Forms typically take 10 minutes.
If you are a massage only patient, please use the NEW PATIENTS drop-down menu and select massage only form. Fill the entire form out being as detailed as possible and click submit. Forms typically take 10 minutes.
If you were in an auto accident you will need to fill out 2 forms. Example: Auto Accident and Adult. Please use the NEW PATIENTS drop-down menu and select the applicable forms. Forms typically take 10 minutes.
If you were injured on the job site and have filed a workers compensation claim you will need to fill out 2 forms. Example: Workers Comp and Adult. Please use the NEW PATIENTS drop-down menu and select the applicable forms. Forms typically take 10 minutes.
If you are not already scheduled, we will call you to schedule once your
online form(s) are submitted and received
If you require further or immediate assistance please call us at 330.674.4373