Patient Downloads
New Patient Forms
- Patient Intake Information.pdf
- HealthQuestionnaire.pdf
- HealthQuestionnairepg2.pdf
- NeckIndex.pdf
- BackIndex.pdf
- Authorizations_Releases_Consent.pdf
- HIPPA.pdf
PI/Worker's Compensation Forms
- PI_WorkersCompQuestionnaire.pdf
- LossofEnjoymentSummary.pdf
- DutiesUnderDuress.pdf
- AssignmentofBenefitsLien.pdf
- InsuranceFilingLetter.pdf
- InsuranceInformation.pdf
Medicare Forms
Activities / Exercises to Improve Patient Wellness.
Techniques to Assist Detoxification
- EB 305
- Detox Baths
- Castor Oil Packs and Coffee Enemas
- Anti-Inflammatory Diet
- Relaxation Therapy
- General Guidelines for Health
- Alternative Flu Suggestions That Work Fast and Naturally