Patient Downloads

New Patient Forms

• Patient Intake Information.pdf
• HealthQuestionnaire.pdf
• HealthQuestionnairepg2.pdf
• NeckIndex.pdf
• BackIndex.pdf
• Authorizations_Releases_Consent.pdf
• UHC Patients only ( only fill out bottom portion)

PI/Worker's Compensation Forms

• PI_WorkersCompQuestionnaire.pdf
  
  
  
• InsuranceInformation.pdf

Medicare Forms

• MaintenanceWaiver.pdf
• NoncoveredCharges.pdf

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

Therapeutic Exercises

• Brain Gym Exercises
• 5 Minute Phobia Cure
• Kegel Exercises