New Patient Forms

Before your first visit, please complete the following forms to help us gather important background, consent, and demographic information.

Registration Form (Billing & Demographics)

Patient History Form

Release of Medical Information

Consent to Treatment Form

Notice of Privacy Practices

Updated Office Policies & Information

Clinical Screening & Questionnaires

These evidence-based screening tools help us assess symptoms related to depression, anxiety, OCD, migraines, epilepsy, and other conditions.

PHQ-9 Depression Screening

Beck Depression Inventory (BDI)

Beck Anxiety Inventory

TMS Questionnaire

Y-BOCS OCD Assessment

Epilepsy Quality of Life (QOLIE-10-P)

Migraine Disability Assessment (MIDAS)

Physical & Functional Assessment Forms

If you’re receiving physical therapy or experiencing balance, mobility, or orthopedic issues, these forms help evaluate your function and guide your care plan.

ABC Balance Confidence Scale

Dizziness Handicap Inventory (DHI)

Lower Extremity Functional Scale

Oswestry Disability Index (Low Back Pain)

QuickDASH Upper Extremity Assessment