Initial Visit Forms

All new patients must fill out the following forms before their initial visit. Forms can either be filled out online via our scheduling system or by downloading the forms below. If you are unable to complete the intake forms before your appointment, please arrive at least 15 minutes early to complete in office.

Intake Forms:

CCC New Patient Medical History

Review of Systems

Informed Consent with Clinic Policies

Complete the following forms if they pertain to your primary complaint:

Neck Pain Disability Index

Low Back Pain Disability Index

Headache Disability Index

Upper Extremity/Arm and Hand Pain

Lower Extremity/Leg and Foot Pain

Schedule Online

Hours
Monday: 9:00am-12:30pm & 1:30-5:00pm
Tuesday: 1:00pm-6:00pm
Wednesday: 9:00am-12:30pm & 1:30-5:00pm
Thursday: 1:00PM-6:00PM
Friday: 9:00am-2:00pm