The following forms are required:

• Patient Intake Form - 2 pages (fill out all applicable information)
• Authorization to Release Info (fill out top section and sign bottom)
• Notice of Privacy Practice (sign bottom)
• Beginning Optimal-2 pages..Difficulty vs Confidence (fill out completely)

The following are only required if...

• Diagnosis of LOW BACK PAIN...Oswestry LBP Scale (fill out completely)
• Patients with Medicaid Insurance...Parental Consent Form (parent's signature)