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For Patients


Please click on the link below to download a packet of forms we would like you to fill out before your first visit.  If you bring the forms filled out to your first visit it will make your check-in process more expedient.  We always recommend new patients arrive 15 minutes before your first appointment. 

New Patient Paperwork

Also, please choose a body part that is most closely related to your injury and fill out the form


The following forms are for your use, but are not required for your first visit

  • QCPT HIPAA Policy  – This is our policy of how we protect your personal health information and medical records.
  • Medical Records Release   – This is the form for when you would like to have us send your records to yourself or another person.
  • Referral Form – You can have your physician fill out this form if your insurance requires you to have a referral.