
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)