Required
Patient Intake – general information to get you started.
HIPAA Notice of Privacy Practices – please read.
HIPAA Acknowledgement – confirmation of receipt of notice of privacy practices.
HIPAA Release of Information – authorization to use/disclose records if necessary.
Choose One:
Back Index – information about how your back condition affects your everyday life.
Neck Index – information about how your neck condition affects your everyday life.
Arm, Shoulder, Hand – DASH (Disabilities of the Arm, Shoulder or Hand)
Hips, Legs, Knees, Ankles, or Feet – LEFS (Lower Extremity Functional Scale)
