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Forms

Download the PDF files below, and fill out before your visit.
(Or please arrive 15 min early to fill out intake forms.)

Patient Intake Form
Dry Needling Waiver
Privacy Policy

 

New Patient Information

Please bring the following to your first appointment:

  • Your ID , insurance card, and prescription/referral (if you have one)

  • MRI/Xray/CT Scan/post-op reports

  • Your medication list

  • Clothing to move in, and in which we can see the affected region (if possible); e.g. tank top for a shoulder, shorts for a knee, etc.

Your initial visit will take approximately 1 hour.

We look forward to meeting you!


S T A F F

Andre Botha     co-owner & physical therapist

Amanda St Pierre     co-owner & physical therapist

SueB Earl physical therapist

Casey Buckingham    physical therapist assistant

Gretchen Botha     billing and admin

Kelli Arbogast     admin-in-chief

Will Hensen pt tech

Nicole Williams pt tech

Emma Igo pt tech

Cy Glaser pt tech

 

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