Patient Forms
Download and print these forms for your next appointment. First Appointment (FA) forms are only required upon your first visit with us. We look forward to seeing you!
Types of Appointments &
Associated Documents
Visual Skills Exam (VSE)
​
​
​
*First Appointment Only
Follow Up Appointment
​
​
​
*First Page Only
​
Progress Check (PC)
​
​
*First Page Only
​
Vision Screen
Vision Screens are free! Please fill out the first page of the "VSE Form" button above.
​
​
​
​
Footbath
​
​
*First Appointment Only
​
​
Structural Energetic Therapy (SET)
​
​
*First Appointment Only *First Appointment Only
​
Sensory Learning Program
Extra At-Home Logs, Questionnaires, and information.
​
​
​
​
Helpful Resources
Use these to assess your symptoms and ensure our office is the right place for you.
​
​
​
​