To make the initial visit 15 minutes quicker, fill out these
forms ahead of time and bring them to the clinic on your initial visit.
Intake Form Side A
Intake Form Side B
Symptom Diagram Form
Health Status Survey Form
Fill out the forms that apply to your condition.
(Example: Back, Neck, Lower Limb, or Upper Limb)
Back Disability Form
Neck Disability Form
Lower Limb Disability Form
Upper Limb Disability Form-A
Upper Limb Disability Form-B
Here are common questions to ask your insurance company regarding your
orthotic and compression stocking coverage
Coverage Question Form