Please print out forms on two-sides of paper.
Cupping Release Forms:
Every New Client:
First-time Client Health History form
HIPAA Disclosure
Auto Injury Cases:
Physician's Prescription & Referral form
Auto Injury Intake Form
Insurance Information (Auto & Work-related cases)
Worker's Compensation Cases:
Physician's Prescription & Referral form
Insurance Information (Auto & Work-related cases)
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Medical Records Release Form
Physician's Permission form
Client Comment Form
Client Feedback form (ABMP)