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Below are the forms that you will need to fill out. You can download and complete the Word version and then email it back to us. You can also print either the .PDF or Word versions and either fax them to us or bring in the completed forms on your first visit.

FORM .PDF WORD
2003
Confidential Patient Information
Case History
Symptom Survey

Adobe Acrobat Reader is required to view .PDF versions of these forms. Click here to download the free application.



We accept most major insurance plans. We will gladly check your coverage before setting up an appointment and we will submit your claims directly to the insurance company.

**** We also accept auto accident and work injury cases. ****

Visa, Mastercard, American Express, and Discover are accepted as well as checks and cash.