What To Bring On Your First Visit

• Comfortable Clothing
• Insurance Cards
• Picture ID
• Original Prescription (Referral Form for Physician Completion)
• List of Medications, Allergies and Surgeries
• Patient Intake Forms
  • Please complete one of the following forms, depending on what is being treated:
    • SPADI – Shoulder pain and disability index – Use for Shoulder
    • DASH – Disabilities of the Arm, Shoulder and Hand Form.
    • Oswestry Low Back Pain Disability Questionnaire
    • Lower Extremity Form
    • Back Index
    • Neck Index
    • Dizziness Handicap Inventory
• United Healthcare Patient Questionnaire
• United Healthcare Back Screening Tool

As a courtesy, please call 24 hours in advance if you need to reschedule your appointment.