INTAKE FORMS

 

One of the first things the doctor will do is to talk with you about your health history.  She or he will be interested in any accidents or injuries you may have had in addition to any surgeries, or illnesses.  Even if it is an old injury it may be important information for the doctor.  To help with this process we ask that you fill out the following forms.  One is the Health History form, which is two pages.  The second is a pain chart that will allow you to show the doctor exactly where your symptoms are and how they feel to you.

 

Please take a few minutes to print them and fill them out so you can bring them with you to your first visit.

 

Other information that may be helpful would be to bring in a list of any medications or supplements that you may be taking.  If you have had recent X-rays taken, those would be helpful also. 

 

If you have any questions about the forms or have trouble picking up the X-rays, please contact our office manager, Michelle, at 587-9122.