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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

Amanda St Pierre     co-owner

Casey Buckingham    physical therapist assistant

Will Hensen PT Tech and Personal Trainer

Carolyn Hagen    admin-in-chief

Gretchen Botha     billing and admin

Kelli Arbogast    second admin-in-chief

AMAZING INTERNS

Cy, and Gwen  

 

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