Patient Forms

Download and print these forms for your next appointment. First Appointment forms are only required upon your first visit with us. We look forward to seeing you!

Types of Appointments &
Associated Documents

INITIAL EXAM PAPERWORK

When checking in for your initial exam, we will need the VSE Form filled out, to save time you can print and bring it to your first appointment. *First Appointment Only

VSE Form - Printable

VSE Form - Online

FOLLOW UPS

When checking in you will need to fill out this form regarding your current treatment, to save time you can print and bring in at your scheduled follow up appointment. *First Page Only

Follow Up Form

Follow Up Form - Online

VISION THERAPY PROGRESS CHECK

When checking in you will need to fill out this form regarding your current treatment, to save time you can print and bring in at your scheduled follow up appointment. *First Page Only

Progress Check

Progress Check - Online

VISION SCREEN

Vision Screens are FREE! Please fill out the VSE Form.

VSE Form

VSE Form - Online

FOOTBATH *First Appointment Only

Footbath Agrmt

Limitations

Footbath Agrmt - Online

STRUCTURAL ENERGETIC THERAPY (SET) *First Appointment Only

Adult Forms